Hypertension Despite Dehydration in an Adolescent with Diabetic Ketoacidosis

Authors

  • Alphonsus N Onyiriuka Endocrine and Metabolic Unit, Department of Child Health, University of Benin Teaching Hospital, Benin City, Nigeria
  • Promise Monday Endocrine and Metabolic Unit, Department of Child Health, University of Benin Teaching Hospital, Benin City, Nigeria
  • Chinwe A Oguejiofor Endocrine and Metabolic Unit, Department of Child Health, University of Benin Teaching Hospital, Benin City, Nigeria

Keywords:

diabetic ketoacidosis, dehydration, hypertension

Abstract

In general, information on blood pressure changes in diabetic ketoacidosis in paediatric population is very scarce. Our aim was to report a case of severe DKA in an adolescent girl who unexpectedly had hypertension rather than hypotension.A 17-year-old girl presented in our Children’s Emergency Unit with complaints of excessive eating for 6 weeks, excessive urination for 2 weeks, fever for 1 week, vomiting for 4 days, difficulty with breathing for one day and unresponsiveness to calls for 3 hours. She had moderated to severe dehydration but no hypotension. Laboratory findings included hyperglycaemia (random blood glucose 20.8 mmo/L; 347 mg/dl), acidosis (serum bicarbonate 5 mmol/L),  ketonuria 2+; glycosuria 2+, and urine  specific gravity of 1.015. At admission, the blood pressure was 100/60 mmHg but progressively rose to 140-180/80-100 mmHg by the third day from admission. A significant hypertension can occur in children and adolescents admitted for severe DKA despite the presence of dehydration. Therefore, the attending physician should be aware of this possibility.

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Published

2019-01-11

How to Cite

Onyiriuka, A. N., Monday, P., & Oguejiofor, C. A. (2019). Hypertension Despite Dehydration in an Adolescent with Diabetic Ketoacidosis. Acta Medica Indonesiana, 50(4), 328. Retrieved from https://www.actamedindones.org/index.php/ijim/article/view/1017

Issue

Vol. 50 No. 4 (2018): Acta Medica Indonesiana

Section

CASE REPORT

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