Diabetic ketoacidosis with pulmonary thromboembolism.
10.12701/yujm.2014.31.2.99
- Author:
Dong Min KIM
1
;
Jeonghun LEE
;
Soo Min NAM
;
Yeon Sun LEE
;
Hee MOON
;
Kang Woo LEE
;
In Wook JANG
Author Information
1. Department of Internal Medicine, Daejeon Sun Hospital, Daejeon, Korea. sum1092@naver.com
- Publication Type:Case Report
- Keywords:
Diabetic ketoacidosis;
Pulmonary embolism;
Anticoagulants
- MeSH:
Alcohol Drinking;
Anticoagulants;
Diabetes Complications;
Diabetic Ketoacidosis*;
Heparin, Low-Molecular-Weight;
Humans;
Hypoglycemic Agents;
Insulin;
Male;
Middle Aged;
Pulmonary Embolism*;
Thrombophilia;
Warfarin
- From:Yeungnam University Journal of Medicine
2014;31(2):99-102
- CountryRepublic of Korea
- Language:Korean
-
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.