Journal of Yeungnam Medical Science
- Volume 31 Issue 2
- /
- Pages.99-102
- /
- 2014
- /
- 2799-8010(eISSN)
DOI QR Code
Diabetic ketoacidosis with pulmonary thromboembolism
당뇨병성 케톤산증에서 발생한 폐혈전색전증
- Kim, Dong Min (Department of Internal Medicine, Daejeon Sun Hospital) ;
- Lee, Jeonghun (Department of Internal Medicine, Daejeon Sun Hospital) ;
- Nam, Soo Min (Department of Internal Medicine, Daejeon Sun Hospital) ;
- Lee, Yeon Sun (Department of Internal Medicine, Daejeon Sun Hospital) ;
- Moon, Hee (Department of Internal Medicine, Daejeon Sun Hospital) ;
- Lee, Kang-Woo (Department of Internal Medicine, Daejeon Sun Hospital) ;
- Jang, In Wook (Department of Internal Medicine, Daejeon Sun Hospital)
- 김동민 (대전 선병원 내과) ;
- 이정훈 (대전 선병원 내과) ;
- 남수민 (대전 선병원 내과) ;
- 이연선 (대전 선병원 내과) ;
- 문희 (대전 선병원 내과) ;
- 이강우 (대전 선병원 내과) ;
- 장인욱 (대전 선병원 내과)
- Received : 2013.08.05
- Accepted : 2013.09.30
- Published : 2014.12.31
Abstract
Diabetic ketoacidosis (DKA), a fatal acute diabetic complication, is characterized by severe metabolic decompensation and intravascular volume depletion. These conditions may result in hypercoagulability and prothrombic state. Pulmonary thromboembolism (PTE) could be presented as an uncommon and life-threatening complication of DKA. Reported herein is a case involving a 54-year-old male patient who was admitted with DKA due to chronic alcohol consumption and stopping the intake of oral antidiabetic drugs. After low-molecular-weight heparin and warfarin treatment because of PTE during the DKA treatment, the patient's condition improved over the week that he was discharged on insulin and warfarin.