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Diabetes Care, Vol 18, Issue 9 1288-1290, Copyright © 1995 by American Diabetes Association

ARTICLES

Simultaneous acute cerebral and pulmonary edema complicating diabetic ketoacidosis

MC Young
Section of Pediatric Endocrinology, Tulane University Medical Center, New Orleans, Louisiana.

OBJECTIVE: To report on a child with diabetic ketoacidosis (DKA) who developed simultaneous acute cerebral edema (CE) and pulmonary edema (PE), required extracorporeal membrane oxygenation (ECMO), and yet survived without significant neurological or pulmonary handicap. CASE SUMMARY: A 3-year-old girl with DKA as the first manifestation of insulin-dependent diabetes mellitus (IDDM) sustained coincident acute CE and PE 9 h into therapy. The former responded to mannitol, but the latter matured into adult respiratory distress syndrome (ARDS) resistant to conventional management and requiring ECMO. CONCLUSIONS: CE, PE, and ARDS can complicate DKA. Survival without sequelae is possible with aggressive treatment.
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[Abstract] [Full Text]

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 PediatricsHome page
D. B. Dunger, M. A. Sperling, C. L. Acerini, D. J. Bohn, D. Daneman, T. P.A. Danne, N. S. Glaser, R. Hanas, R. L. Hintz, L. L. Levitsky, et al.
European Society for Paediatric Endocrinology/Lawson Wilkins Pediatric Endocrine Society Consensus Statement on Diabetic Ketoacidosis in Children and Adolescents
Pediatrics, February 1, 2004; 113(2): e133 - 140.
[Full Text] [PDF]


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Copyright © 1995 by the American Diabetes Association.