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Case Report

Online Publishing Date:
08 / 09 / 2022

 


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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How to Cite this Article
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: April 04, 2024]. 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 April 04, 2024]; 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


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