E-ISSN 2534-9821
 

Case Report 


DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report

Sirshendu Pal, Rupsha Dutta Pal.

Abstract
Diabetic ketoacidosis (DKA) associated with rhabdomyolysis has been reported previously though such cases have been rare and the exact pathophysiology yet unclear. We came across a 16-year-old female with type 1 diabetes. She presented with severe dehydration, lethargy, respiratory distress, and oliguria, which worsened to anuria. Laboratory investigations demonstrated a hyperglycaemic hyperosmolar state (HHS). A diagnosis of DKA with ARF was made. The clinical signs prompted further investigations, which confirmed rhabdomyolysis and hypophosphatemia. The patient suffered a sudden cardiac arrest due to severe electrolyte imbalance and subsequent arrhythmia due to rhabdomyolysis. She was resuscitated and underwent hemodialysis. The patient's clinical condition improved as laboratory parameters normalized; she was weaned off the ventilator and no longer required hemodialysis. Considering the non-compliance to insulin and unhealthy lifestyle, and the adverse psychological impact of the events preceding cardiac arrest, she was managed with a multidisciplinary approach, thus facilitating clinical, psychological, and behavioural improvement. Thus, long-standing T1D with uncontrolled blood glucose increases the risk of malnutrition, electrolyte imbalance, and metabolic irregularities, increasing the susceptibility to DKA and subsequent rhabdomyolysis, which can have serious complications such as cardiac arrest. Therefore, a holistic approach using multidisciplinary teams is suggested to reduce morbidity and mortality.

Key words: Diabetic ketoacidosis, acute kidney injury, rhabdomyolysis, cardiac arrest, type 1 diabetes, adolescent


 
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Pubmed Style

Pal S, Pal RD. DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report. Int J Med Rev Case Rep. 2022; 6(14): 68-71. doi:10.5455/IJMRCR.172-1653060360


Web Style

Pal S, Pal RD. DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report. https://www.mdpub.net/?mno=43820 [Access: November 19, 2022]. doi:10.5455/IJMRCR.172-1653060360


AMA (American Medical Association) Style

Pal S, Pal RD. DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report. Int J Med Rev Case Rep. 2022; 6(14): 68-71. doi:10.5455/IJMRCR.172-1653060360



Vancouver/ICMJE Style

Pal S, Pal RD. DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report. Int J Med Rev Case Rep. (2022), [cited November 19, 2022]; 6(14): 68-71. doi:10.5455/IJMRCR.172-1653060360



Harvard Style

Pal, S. & Pal, . R. D. (2022) DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report. Int J Med Rev Case Rep, 6 (14), 68-71. doi:10.5455/IJMRCR.172-1653060360



Turabian Style

Pal, Sirshendu, and Rupsha Dutta Pal. 2022. DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report. International Journal of Medical Reviews and Case Reports, 6 (14), 68-71. doi:10.5455/IJMRCR.172-1653060360



Chicago Style

Pal, Sirshendu, and Rupsha Dutta Pal. "DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report." International Journal of Medical Reviews and Case Reports 6 (2022), 68-71. doi:10.5455/IJMRCR.172-1653060360



MLA (The Modern Language Association) Style

Pal, Sirshendu, and Rupsha Dutta Pal. "DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report." International Journal of Medical Reviews and Case Reports 6.14 (2022), 68-71. Print. doi:10.5455/IJMRCR.172-1653060360



APA (American Psychological Association) Style

Pal, S. & Pal, . R. D. (2022) DKA associated rhabdomyolysis with acute renal failure and cardiac arrest in an adolescent patient with T1D: a case report. International Journal of Medical Reviews and Case Reports, 6 (14), 68-71. doi:10.5455/IJMRCR.172-1653060360