Soonchunhyang Med Sci.  2020 Dec;26(2):80-85. 10.15746/sms.20.020.

Diffuse Intracranial Hemorrhages, Acute Peripheral Neuropathy, and Acute Kidney Injury in a Newly Diagnosed Diabetes Patient with Severe Diabetic Ketoacidosis: A Case Report and Literature Review

• Woo YJ
• Hong HS
• Choi SJ
• Shin YL

• KMID: 2510702
• DOI: http://doi.org/10.15746/sms.20.020

Abstract

Diabetic ketoacidosis (DKA) is a common complication associated with pediatric type 1 diabetes mellitus (DM). Although cerebral edema is the major cause of death in DKA, there is a possibility of the occurrence of other dangerous complications involving multiple systems, thereby contributing to mortality and morbidity. Herein, we report the case of a 13-year-old girl with new-onset type 1 DM and severe DKA. Her condition was further complicated by the occurrence of diffuse intracranial hemorrhages, acute kidney injury requiring hemodialysis, and peripheral neuropathy. Patients with severe acidosis require careful monitoring of kidney function and neurological complications, and these conditions should be treated appropriately.

Keyword

Diabetic ketoacidosis; Hemorrhage; Acute kidney injury; Peripheral nervous system diseases