Rare complications of pediatric diabetic ketoacidosis

Cardiovascular Complications in Diabetic Ketoacidosis

Diabetic Ketoacidosis (DKA) is one of the two important metabolic complications of diabetes, the other being hyperglycaemic hyperosmolar non-ketotic state (HHNS). DKA consists of the triad of hyperglycaemia, ketosis and acidosis; the diagnostic criteria being blood glucose level > 250 mg/dl, arterial pH < 7.3, bicarbonate level < 15 mEq/L and a moderate degree of ketonaemia and ketonuria. There...

Diabetic ketoacidosis and pediatric stroke.

Cerebrovascular complications of diabetic ketoacidosis in children.

Neurological deterioration in children with diabetic ketoacidosis (DKA) is commonly caused by cerebral edema. However, subtle cerebral injuries including strokes should also be suspected, since children with hyperglycemia and DKA are prone to thrombosis. In this paper, a case involving a 2 month-old patient that presented cerebral edema and stroke as complications of DKA is reported. In the dis...

A Rare Case report of Neuromuscular Complications of Pediatric Lymphoma

Un enfant de 12 ans atteint d'un lymphome medias­tinal a ete hospitalise pour des manifestations neurolo­giques comportant: facies myasthenique, douleurs radi­culaires intenses, amyotrophie et diminution de la force musculaire au niveau des membres.  A l'examen du liquide cephalo-rachidien, ii existait une meningite neoplasique. Celle-ci a ete traitee par le methotraxate intra-rachidien parall...

Improving Care for Pediatric Diabetic Ketoacidosis abstract

OBJECTIVE: We sought to create and implement recommendations from an evidence-based pathway for hospital management of pediatric diabetic ketoacidosis (DKA) and to sustain improvement. We hypothesized that development and utilization of standard work for inpatient care of DKA would lead to reduction in hypokalemia and improvement in outcome measures. METHODS: Development involved systematic rev...