A RARE CASE MORTALITY OF DIABETIC KETOACIDOSIS- CEREBRAL EDEMA WITH TONSILLAR HERNIATION- A CONTRADICTORY OPINION.IS SODIUM BICARBONATE A REAL CULPRIT?

Author:

P Sruthi1,Sharieff M Manzoor2,Kumar P Prasanth2,priya V Vishnu1,N Nagarajan3,A Jaganath4

Affiliation:

1. POST GRADUATE AND JUNIOR RESIDENT, Dept of General Medicine, PESIMSR ,Kuppam

2. POST GRADUATE AND JUNIOR RESIDENT, Dept of General Medicine, PESIMSR ,Kuppam.

3. PROFESSOR, Dept of General Medicine, PESIMSR, Kuppam.

4. HOD, Intensive Care Unit, PESIMSR, Kuppam

Abstract

Diabetic ketoacidosis (DKA) is the most common complication seen in uncontrolled diabetes mellitus. DKA is most commonly seen with patients of type 1 diabetes. Depletion of Insulin leads to high blood sugars which in turn leads osmotic diuresis, production of ketone bodies i.e, βhydroxybutyric acid and acetoacetic acid, dysregulation of sodium hydrogen exchange mechanism[2]. As a consequence to the above stated mechanisms, cerebral edema has been documented as a fatal complication in DKA. Mortality documented due to cerebral edema is 21-25%[4].

Publisher

World Wide Journals

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