Infantile cerebral infarction caused by severe diabetic ketoacidosis in new-onset type 1 diabetes mellitus

被引：4

作者：

Suzuki, Junichi ^{[2
]}

Fuchigami, Tatsuo ^{[1
]}

Kawamura, Kengo ^{[2
]}

Aoki, Masako ^{[2
]}

Urakami, Tatsuhiko ^{[2
]}

Morioka, Ichiro ^{[2
]}

机构：

[1] Nihon Univ, Sch Med, Dept Pediat & Child Hlth, Chiyoda Ku, 1-6 Kanda Surugadai, Tokyo 1018309, Japan

[2] Nihon Univ, Sch Med, Dept Pediat & Child Hlth, Tokyo, Japan

来源：

JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM | 2019年 / 32卷 / 12期

关键词：

cerebral infarction; diabetic ketoacidosis; type 1 diabetes mellitus; CHILDREN;

D O I：

10.1515/jpem-2019-0233

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Diabetic ketoacidosis (DKA) is a common complication of type 1 diabetes mellitus (T1DM). Infants and children with new-onset T1DM may present with DKA, and the risk of cerebral edema is high in infantile DKA. What is new? Neurological deterioration during an episode of DKA is usually attributed to cerebral edema and cerebrovascular accidents. However, cerebral infarction is a very rare complication in infantile DKA. Case presentation: We describe a rare case of infantile cerebral infarction caused by severe DKA in a patient with new-onset T1DM. Conclusions: Cerebral infarction is an important intracranial complication in infantile DKA. Careful observation and treatment for DKA during the first 24 h of therapy are necessary in infants with new-onset T1DM because the risk of cerebral infarction is highest during this timeframe.

引用

页码：1391 / 1394

页数：4

共 50 条

[1] The Prevalence of Diabetic Ketoacidosis in Children with New-Onset Type 1 Diabetes Mellitus
Niechcial, Elzbieta
Gertig-Kolasa, Anna
Krzysko-Pieczka, Izabela
Skowronska, Bogda
Stankiewicz, Witold
Michalak, Michal
Fichna, Piotr
[J]. HORMONE RESEARCH IN PAEDIATRICS, 2016, 86 : 218 - 218
[2] Severe Hypercalcemia in an Adolescent with New-Onset Diabetes Mellitus and Diabetic Ketoacidosis
Gurnurkar, Shilpa
DiLillo, Emily R.
Carakushansky, Mauri
[J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (06)
[3] Supraventricular tachycardia associated with severe diabetic ketoacidosis in a child with new-onset type 1 diabetes mellitus
Shati, Ayed A.
Al-Asmari, Own J.
Alhayani, Abdullah A.
Alqahtani, Youssef A.
Alshehri, Salem A.
Alhelali, Ibrahim A.
[J]. CARDIOLOGY IN THE YOUNG, 2022, 32 (10) : 1677 - 1680
[4] NEW-ONSET TYPE 1 DIABETES MELLITUS IN AN ADOLESCENT WITH KETOACIDOSIS AND SEVERE HYPEROSMOLAR STATE
Patel, Shruti
Villasmil, Maria Graciela Parra
Tansey, Michael
Badheka, Aditya
Chegondi, Madhuradhar
[J]. CRITICAL CARE MEDICINE, 2021, 49 (01) : 215 - 215
[5] New-onset Type 1 Diabetes Mellitus with Diabetic Ketoacidosis and Pancreatitis in a Patient with COVID-19
Alfishawy, Mostafa
Nassar, Mahmoud
Mohamed, Mahmoud
Fatthy, Moataz
Elmessiery, Riem M.
[J]. SCIENTIFIC AFRICAN, 2021, 13
[6] New-onset diabetes mellitus and diabetic ketoacidosis associated with olanzapine treatment
Goldstein, LE
Sporn, J
Brown, S
Kim, H
Finkelstein, J
Gaffey, GK
Sachs, G
Stern, TA
[J]. PSYCHOSOMATICS, 1999, 40 (05) : 438 - 443
[7] A case of polyneuropathy associated with diabetic ketoacidosis in new-onset type 1 diabetes
Sada, Kokoro
Hidaka, Shuji
Takemaru, Makoto
Ueno, Daisuke
Shibata, Hirotaka
[J]. JOURNAL OF DIABETES INVESTIGATION, 2022, 13 (05) : 918 - 922
[8] The Relationship Between COVID-19 and the Development of Diabetic Ketoacidosis and New-Onset Type 1 Diabetes Mellitus
Kellogg, Creighton
Iv, Louis C. Haenel
[J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (05)
[9] Lipemic Serum in a Child With New-Onset Type 1 Diabetes Mellitus Presenting With Diabetic Ketoacidosis: A Case Report
Hansa, Christina
Vijayakumar, Vimalraj
Chinnasami, Balaji
Sundar, Subash
[J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (09)
[10] Diabetic ketoacidosis and cerebral edema in children with new onset type 1 diabetes
Lakhani, Alyshah
Schmitt, Jessica
Greenup, Erin
Ashraf, Ambika
[J]. HORMONE RESEARCH IN PAEDIATRICS, 2020, 93 : 91 - 92

← 1 2 3 4 5 →