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Unusual presentation of more common disease/injury
Diabetic ketoacidosis, respiratory distress and myocardial dysfunction
  1. Kari D Roberts1,
  2. Daniel L Levin2
  1. 1
    University of Minnesota Children's Hospital, Pediatrics, 420 Delaware St SE, MMC 39, Minneapolis, MN 55455, USA
  2. 2
    Children’s Hospital at Dartmouth, Pediatrics, One Medical Center Dr, Lebanon, NH 03756, USA
  1. Kari D Roberts, rober694{at}umn.edu

Summary

This case report describes a patient with respiratory distress, myocardial dysfunction, elevated troponin level, ECG changes and pulmonary oedema secondary to new onset diabetic ketoacidosis (DKA). This case may be unique, but it is possible that less severe cases occur and are underappreciated in the paediatric setting. This report demonstrates the need to closely evaluate and monitor cardiac function in patients with DKA.

https://doi.org/10.1136/bcr.01.2009.1530

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    Footnotes

    • Funding: This work is supported by the Susan J Epply Quasi-Endowment, Children’s Hospital at Dartmouth.

    • Patient consent: Patient/guardian consent was obtained for publication.