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Case Reports
. 2019 Apr 2;45(1):42.
doi: 10.1186/s13052-019-0633-y.

Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report

Konrad Miszczuk  1 , Joanna Mroczek-Wacinska  1 , Robert Piekarski  1 , Beata Wysocka-Lukasik  1 , Renata Jawniak  2 , Iwona Ben-Skowronek  3
Affiliations
Case Reports

Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report

Konrad Miszczuk et al. Ital J Pediatr. .

Abstract

Background: Hypophosphatemia has many causes, and is often encountered during DKA (Diabetic Ketoacidosis) treatment. However, it rarely requires clinical intervention.

Case presentation: Ventricular arrhythmia was observed in a 10-year-old girl with newly diagnosed type 1 diabetes mellitus and hypophosphatemia while undergoing treatment for ketoacidosis. Oral phosphate supplementation ceased ventricular arrhythmia almost completely.

Conclusions: The clinical signs of hypophosphatemia are potentially life-threatening. Therefore, physicians should be vigilant when treating patients who are at risk of hypophosphatemia. Severe hypophosphatemia accompanied by clinical symptoms requires oral or intravenous supplementation of phosphate.

Keywords: Case report; Diabetic ketoacidosis; Hypophosphatemia; Ventricular arrhythmia.

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Conflict of interest statement

Ethics approval and consent to participate

Bioethics Committee of Medical University in Lublin (No KE-0254/286/2016).

The parents of patient give informed consent for publication of this case report.

Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
An electrocardiogram with premature ventricular complexes performed after the first recognition of the irregular hearth rhytm
See this image and copyright information in PMC

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