Hyperglycemic hyperosmolar nonketotic syndrome with rhabdomyolysis in a patient with newly-onset diabetes: one case report and literature review
نویسندگان
چکیده
Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is one of the most severe acute complications of diabetes. The hallmark of HHNS is profound dehydration, marked hyperglycemia, and often some degree of neurologic impairment with mild or no ketosis [1]. Rhabdomyolysis is an unusual but underestimated complication of HHNS [2]. HHNS accompanied with rhabdomyolysis in diabetic patients was reported 20 years ago [3]. The prognosis of HHS is worse. Herein, we report one patient newly diagnosed as type 2 diabetes mellitus and complicated with HHNS and rhabdomyolysis. The relevant literatures are reviewed to improve the cognition of the diseases.
منابع مشابه
Hyperosmolar Hyperglycemic Non Ketotic Coma and Rhabdomyolysis; An Uncommon Clinical Encounter
Rhabdomyolysis is usually attributed to trauma. However there is an association of rhabdomyolysis with hyperosmolar states. Recognition of this association will enable better management of the patient and reduce the burden on the care taker by preventing the onset of complications that can prove fatal. It is also important to realise that hyperosmolar coma can be the presenting complaint of a d...
متن کاملAggressive Fluid Resuscitation in Severe Pediatric Hyperglycemic Hyperosmolar Syndrome: A Case Report
Objective. This report describes a severe case of hyperglycemic hyperosmolar syndrome complicated by rhabdomyolysis, acute kidney injury, hyperthermia, and hypovolemic shock, with management centred upon fluid administration. Design. Case report. Setting. Pediatric intensive care unit in university teaching hospital. Patients. 12 years old adolescent female presenting with hyperglycemic hyperos...
متن کاملHaff Disease after Eating Buffalo Fish: Report of a Severe Case in Northern California and Review of the Literature
Background:Toxic contamination of fish may compromise food safety. Haff disease is a rare syndrome characterized by rhabdomyolysis following consumption of cooked, freshwater fish. Case Report: A healthy 42 year old female presented three hours after eating fried buffalo fish (Ictiobus cyprinellis). Her symptoms began while eating the fish, described as diffuse muscle aches followed by generali...
متن کاملA new challenge in pediatric obesity: pediatric hyperglycemic hyperosmolar syndrome.
OBJECTIVES To describe four adolescents with hyperglycemic hyperosmolar syndrome, an uncommon presentation of type 2 diabetes in pediatric patients. DESIGN Case report. SETTING Two tertiary pediatric intensive care units in university teaching hospitals. PATIENTS Four obese adolescents with hyperglycemic hyperosmolar syndrome associated with type 2 diabetes mellitus. INTERVENTIONS Isoto...
متن کاملNew-onset type II diabetes mellitus, hyperosmolar non-ketotic coma, rhabdomyolysis and acute renal failure in a patient treated with sulpiride.
New-onset type II diabetes mellitus, hyperosmolar non-ketotic coma, rhabdomyolysis and acute renal failure in a patient treated with sulpiride Sir, Various drugs have been reported to cause myoglobinuric acute renal failure [1–4]. In this report, we present a case of oral sulpiride administration, complicated with new-onset type II diabetes mellitus, hyperosmolar non-ketotic coma, rhabdomyolysi...
متن کامل