Yeungnam Univ J Med.  2014 Dec;31(2):99-102. 10.12701/yujm.2014.31.2.99.

Diabetic ketoacidosis with pulmonary thromboembolism

• Kim DM
• Lee J
• Nam SM
• Lee YS
• Moon H
• Lee KW
• Jang IW

• KMID: 1909815
• DOI: http://doi.org/10.12701/yujm.2014.31.2.99

Abstract

Diabetic ketoacidosis (DKA), a fatal acute diabetic complication, is characterized by severe metabolic decompensation and intravascular volume depletion. These conditions may result in hypercoagulability and prothrombic state. Pulmonary thromboembolism (PTE) could be presented as an uncommon and life-threatening complication of DKA. Reported herein is a case involving a 54-year-old male patient who was admitted with DKA due to chronic alcohol consumption and stopping the intake of oral antidiabetic drugs. After low-molecular-weight heparin and warfarin treatment because of PTE during the DKA treatment, the patient's condition improved over the week that he was discharged on insulin and warfarin.

Keyword

Diabetic ketoacidosis; Pulmonary embolism; Anticoagulants

MeSH Terms

Alcohol Drinking
Anticoagulants
Diabetes Complications
Diabetic Ketoacidosis*
Heparin, Low-Molecular-Weight
Humans
Hypoglycemic Agents
Insulin
Male
Middle Aged
Pulmonary Embolism*
Thrombophilia
Warfarin
Anticoagulants
Heparin, Low-Molecular-Weight
Hypoglycemic Agents
Insulin
Warfarin