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Aggressive Fluid Resuscitation in Severe Pediatric Hyperglycemic Hyperosmolar Syndrome: A Case Report

Murthy, Srinivas; Sharara-Chami, Rana

International journal of pediatric endocrinology. Volume 2010 (2010) -- BioMed Central

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  • Title:
    Aggressive Fluid Resuscitation in Severe Pediatric Hyperglycemic Hyperosmolar Syndrome: A Case Report
  • Author: Murthy, Srinivas;
    Sharara-Chami, Rana;
    Damiani, Durval
  • Found In: International journal of pediatric endocrinology. Volume 2010 (2010)
  • Journal Title: International journal of pediatric endocrinology
  • Subjects: Endocrine glands--Diseases--Periodicals; Pediatric endocrinology--Periodicals; Dewey: 618.924
  • Rights: legaldeposit
  • Publication Details: BioMed Central
  • Abstract: Abstract :

    Objective . This report describes a severe case of hyperglycemic hyperosmolar syndrome complicated by rhabdomyolysis, acute kidney injury, hyperthermia, and hypovolemic shock, with management centred upon fluid administration. Design . Case report. Setting . Pediatric intensive care unit in university teaching hospital. Patients . 12 years old adolescent female presenting with hyperglycemic hyperosmolar syndrome with a new diagnosis of type 2 diabetes mellitus. Intervention . Aggressive fluid resuscitation and insulin. Main results . The patient had a good outcome, discharged home on hospital day 6. Conclusions . Hyperglycemic hyperosmolar syndrome is associated with a number of complications. Management strategies are undefined, given the rarity of its presentation, and further studies are warranted.


  • Identifier: System Number: LDEAvdc_100083589981.0x000001; Journal ISSN: 1687-9856; 10.1155/2010/379063
  • Publication Date: 2010
  • Physical Description: Electronic
  • Shelfmark(s): ELD Digital store

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