Author(s):
1. Nur Jihan Mohd Zukhi:
Universiti Sains Malaysia,11800 Gelugor, Penang,Malaysia
2. Mohd Zulfakar Mazlan:
Department of Anesthesiology and Intensive Care, School of Medical Science, Universiti Sains Malaysia, Kubang Kerian, 15200 Kota Bharu, Kelantan, Malaysia
3. Fatanah Mohamad Suhaimi:
Universiti Sains Malaysia,11800 Gelugor, Penang,Malaysia
Abstract:
Diabetic ketoacidosis (DKA) is a triad of hyperglycemia, metabolic acidosis and ketosis. It is a life-threatening complication of diabetes mellitus (DM) that can lead to death without appropriate treatment. DKA with stroke increases morbidity and mortality in the intensive care unit (ICU). A 37-year-old male was brought to the emergency department with sudden onset of weakness for the past two days. He had been diagnosed with type 2 DM five years earlier, but it was poorly controlled. On examination, his Glasgow Coma Scale was within normal limits. Laboratory and radiological investigations revealed severe hyperglycemia, metabolic acidosis, and brain stem infarct. He required intubation and was admitted to the ICU with a diagnosis of DKA and cerebellar and brain stem infarct. The patient succumbed to death despite 13 days of ICU management. DKA can precipitate a cerebellar and brain stem infarct, but it can be fatal despite extreme management in the ICU.
Page(s):
253-256
Published:
Journal: Anaesthesia, Pain and Intensive Care, Volume: 26, Issue: 2, Year: 2022
Keywords:
Stroke
,
Mortality
,
Diabetic ketoacidosis
,
Cerebral edema
,
Brain stem infarct
References:
References are not available for this document.
Citations
Citations are not available for this document.