fant et des conseils clairs pour la prise en charge initiale de l’acidocétose diabétique, l’initiation de l’insulinothérapie, le dépistage des complications et d’ autres. ACD, acidocétose diabétique. D’après Bergenstal et al. . from publication: Practical implementation, education and interpretation guidelines for continuous . Download Citation on ResearchGate | On Oct 1, , L. Cherki and others published P – Acidocétose diabétique: analyse des facteurs de décompensation.
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It can be a rare complication of diabetic acidoketosis. Clinically, the patients presented the cardinal diabetlque of diabetes and a flu-like syndrome associated with dyspnea and chest pain. Physical examination revealed a poor general health status, tachycardia and polymnea, as well as a painful diffuse tumefaction of the neck with subcutaneous emphysema.
Blood tests disclosed elevated glycemia and urine was positive for acetone. The diagnosis of severe metabolic acidosis was retained. The chest x-ray demonstrated the subcutaneous emphysema and air in the anterior mediastinum. On the computed tomography scan obtained in the second patient, the heart was silhouetted with a hyperlucent zone laterally.
Treatment consisted in strict bed rest with oxygen therapy, fluid replacement, insulin and heparin. The pneumomediastinum resolved in both patients within three days on average. The causal effect of diabetic acidoketosis in the development of pneumomediastinum in our two patients was retained after ruling out all other diabetiue causes, including chest trauma and asthma.
PneumomediastinumDiabetic acidoketosisMetabolic acidosisHyperventilation. Journal page Archives Contents list.
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Complication rare de l’acidocétose diabétique : le pneumomédiastin – EM|consulte
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