Rhabdomyolysis and Acute Pancreatitis in Diabetic Ketoacidosis: A Case Report and Review of Literature

Umair, Muhammad; Salam, Sanna; Kazi, Anjum; Kaur, Almeet; Abrudescu, Ardriana; Trandafirescu, Theo

doi:10.4236/ojemd.2021.119014

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Other studies also show that acid-base and electrolyte disturbances are common in patients with type 2 diabetes mellitus, including the prevalence of alkalosis and metabolic acidosis, which can occur despite normal renal function [26]. Furthermore, fluid shifts, electrolyte imbalances, and acid-base disorders are factors causing complications such as diabetic ketoacidosis in patients with type 2 diabetes mellitus, which can cause multi-organ failure [27]. This indicates that these disorders are a common phenomenon in these patients and can develop in the absence of severe renal dysfunction.…”

Section: Comorbiditiesmentioning

confidence: 99%

Behind the Hospital Ward: In-Hospital Mortality of Type 2 Diabetes Mellitus Patients in Indonesia (Analysis of National Health Insurance Claim Sample Data)

Darmawan,

Permanasari,

Nisrina

et al. 2024

IJERPH

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The rising global prevalence of diabetes mellitus, a chronic metabolic disorder, poses significant challenges to healthcare systems worldwide. This study examined in-hospital mortality among patients diagnosed with non-insulin-dependent diabetes mellitus (NIDDM) of ICD-10, or Type 2 Diabetes Mellitus (T2DM), in Indonesia, utilizing hospital claims data spanning from 2017 to 2022 obtained from the Indonesia Health Social Security Agency or Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. The analysis, which included 610,809 hospitalized T2DM patients, revealed an in-hospital mortality rate of 6.6%. Factors contributing to an elevated risk of mortality included advanced age, the presence of comorbidities, and severe complications. Additionally, patients receiving health subsidies and those treated in government hospitals were found to have higher mortality risks. Geographic disparities were observed, highlighting variations in healthcare outcomes across different regions. Notably, the complication of ketoacidosis emerged as the most significant risk factor for in-hospital mortality, with an odds ratio (OR) of 10.86, underscoring the critical need for prompt intervention and thorough management of complications to improve patient outcomes.

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Section: Comorbiditiesmentioning

confidence: 99%

Behind the Hospital Ward: In-Hospital Mortality of Type 2 Diabetes Mellitus Patients in Indonesia (Analysis of National Health Insurance Claim Sample Data)

Darmawan,

Permanasari,

Nisrina

et al. 2024

IJERPH

View full text Add to dashboard Cite

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Hypophosphatemia-induced Rhabdomyolysis: A Case Report on Uncommon Complication of Diabetic Ketoacidosis - A Case Report

et al. 2023

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Diabetes has numerous acute and chronic manifestations, and diabetic ketoacidosis (DKA) is one such acute complication, commonly encountered in medical emergencies. Apart from hyperglycemia and metabolic acidosis, the entity is diagnosed if ketone levels in the blood or urine are elevated (>3.0 mmol/L). [1] DKA can further lead to many complications such as cerebral injury, acute kidney injury (AKI), large vessel thromboses, pulmonary edema, pancreatitis, cardiac abnormalities, and electrolyte imbalance. Among electrolytes, hypophosphatemia and hypokalemia can develop in DKA, and have an association with muscular symptoms or weakness. case reportA 34-year-old previously healthy male patient presented to the emergency department of our tertiary care hospital with drowsiness and generalized weakness. Before admission, he suffered several episodes of nonbilious vomiting. There was no history of falls, trauma, or drug abuse, and the patient was a clerk by occupation. He was a known case of type 1 diabetes mellitus for the past 13 years. The accompanying attendant accepted that the patient was irregular with his insulin doses in the preceding week. There was no other significant past history.Physical examination was significant for dehydration, i.e., sunken eyes and dry tongue, with a Glasgow Coma Scale score of 11/15. He was vitally stable with a blood pressure of 102/68 mmHg, pulse of 96/min, respiratory rate of 24/min, and capillary oxygen saturation of 99%. Bilateral pupils were normal in size and reacting to light. The planter response was flexor on both sides, and there was no neck rigidity. The rest of the systemic examination was unremarkable. The patient was managed conservatively with intravenous fluids and antiemetics. Further, his capillary blood glucose was 446 mg/ dl and arterial blood gas was suggestive of metabolic acidosis

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Rhabdomyolysis and Acute Pancreatitis in Diabetic Ketoacidosis: A Case Report and Review of Literature

Cited by 2 publications

References 5 publications

Behind the Hospital Ward: In-Hospital Mortality of Type 2 Diabetes Mellitus Patients in Indonesia (Analysis of National Health Insurance Claim Sample Data)

Behind the Hospital Ward: In-Hospital Mortality of Type 2 Diabetes Mellitus Patients in Indonesia (Analysis of National Health Insurance Claim Sample Data)

Hypophosphatemia-induced Rhabdomyolysis: A Case Report on Uncommon Complication of Diabetic Ketoacidosis - A Case Report

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