Journal of Nephrology & Therapeutics

Nitasa Sahu

Publications

• Case Report
  Unusual Case of New Onset Diabetes Mellitus Presenting with Diabetic Ketoacidosis and Cerebral Edema with Literature Review
  Author(s): Nitasa Sahu, Emma Punni, Chandra Chandran and Medhat IsmailNitasa Sahu, Emma Punni, Chandra Chandran and Medhat Ismail
  
  Diabetic ketoacidosis (DKA) is typically treated with volume replacement (most commonly normal saline), insulin and monitored via serial chemistry and glucose lab values. Cerebral edema, a complication occurring in approximately 1% of DKA presentations in children, with a mortality of 40-90%, has no clear identifiable risk factors. While many cases have been reported in children, there are only a few cases of clinically significant cerebral edema in adults. It is postulated the underlying mechanism is similar to that in children; excessive fluid resuscitation, rapid reduction in plasma osmolarity, and/or the administration of sodium bicarbonate. We are reporting a case of a 26 year old male with no prior medical history, who presented in diabetic ketoacidosis and was treated as per the American Diabetic Association guidelines, however, deteriorated rapidly after acute complaints of he.. Read More»
  DOI: 10.4172/2161-0959.1000262

  Abstract PDF