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Case Reports
. 2010:2010:379063.
doi: 10.1155/2010/379063. Epub 2010 Mar 18.

Aggressive fluid resuscitation in severe pediatric hyperglycemic hyperosmolar syndrome: a case report

Srinivas Murthy  1 , Rana Sharara-Chami
Affiliations
Case Reports

Aggressive fluid resuscitation in severe pediatric hyperglycemic hyperosmolar syndrome: a case report

Srinivas Murthy et al. Int J Pediatr Endocrinol. 2010.

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.

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Serum glucose and sodium during hospitalization.
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