Pediatr Emerg Med J.  2021 Jun;8(1):30-34. 10.22470/pemj.2020.00136.

A case of diabetic ketoacidosis and hyperosmolar hyperglycemic state complicated with iatrogenic left femoral arterial thrombosis in a 14-year-old girl with newly diagnosed type 2 diabetes mellitus

• Kim YJ
• Kim YH

• KMID: 2517755
• DOI: http://doi.org/10.22470/pemj.2020.00136

Abstract

Although diabetic ketoacidosis (DKA) is a major cause of morbidity and mortality of type 1 diabetes mellitus, DKA also occurs in ketosis-prone type 2 diabetes. Recently, cases of DKA associated with hyperosmolar hyperglycemic state (HHS) have been reported in adolescents. We reported a 14-year-old girl with newly diagnosed type 2 diabetes mellitus-associated DKA and HHS complicated with iatrogenic left femoral arterial thrombosis, requiring a below-knee amputation. In DKA and HHS, risk factors for thrombosis, vascular access predisposes patients to thrombosis. Consequently, occurrence of thrombosis should be monitored in patients with DKA or HHS.

Keyword

Diabetic Ketoacidosis; Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Hyperglycemic Hyperosmolar Nonketotic Coma; Thrombosis