高ミオグロビン血症とともに急性腎尿細管壊死を併発した糖尿病性昏睡の1例
スポンサーリンク
概要
- 論文の詳細を見る
A case of diabetic coma associated with acute renal tubular necrosis is reported.<BR>The patient was a 24-yr-old man. He had suffered from a common cold 2 weeks beforeadmission. His complaints on admission were abdominal pain, thirst, polyuria and weightloss. Hyperglycemia (1, 005 mg/dl) and acetonuria with metabolic acidosis (pH 7.1) indicated diabetic ketoacidosis. Continuous intravenous infusion of insulin (4 unit/hr) was begun immediately. However, he became oliguric and markedly edematous. Acute renal failure accompanied by severe hypermyoglobulinemia (23, 680 ng/ml) and a transient DIC (platelets 2.3 x 104/mm3, serum FDP 40 mg/dl) probably resulted from acute renal tubular necrosis, which was demonstrated by renal biopsy and spontaneously relieved after the performance of the 21st hemodialysis. The severe hypermyoglobulinemia may have derived not only from the ketoacidosis itself and circulatory disturbance, but also from direct invasion of viruses into the muscle tissues. This may represent a major factor contributory to the acute renal tubular necrosis.
- 一般社団法人 日本糖尿病学会の論文
一般社団法人 日本糖尿病学会 | 論文
- Hyperlipidemia and Analysis of the Use of Lipid-lowering Drugs in Non-insulin-dependent Diabetes Mellitus.
- Thyrotoxic Crisis in a Patient with Mitochondrial Diabetes Mellitus.
- Rapidly Progressive Nephropathy in a Young Patient with Mitochondrial Gene Mutation.
- An Autopsy Case of Ketoacidosis in Insulin Dependent Diabetes Mellitus Patient Complicated with Adult Respiratory Distress Syndrome, DIC and Leukopenia.
- Studies on Alcoholic Beverages in Relation to Body Weight for Mild Diabetics