Title of article
Severe Symptomatic Hypophosphatemia With Thrombocytopenia in a Child With Diabetic Ketoacidosis
Author/Authors
Prabhu Ganapathy, Vinod Department of Pediatrics - Jupiter Medical Center, Dubai , Anand Palaniswamy, Vijay Department of Critical Care - G Kuppuswamy Naidu Memorial Hospital - Coimbatore - Tamilnadu, India , Vinod, Pratibha Department of Pediatrics - iCARE Clinics, Dubai , Narayanan, Lakshmi Department of Pediatrics - G Kuppuswamy Naidu Memorial Hospital - Coimbatore, Tamilnadu, India , Sahoo, Tanushree Department of Pediatrics - All India Institute of Medical Sciences (AIIMS), New Delhi, India , Ranjan Das, Rashmi Department of Pediatrics - All India Institute of Medical Sciences (AIIMS), New Delhi, India
Pages
3
From page
1
To page
3
Abstract
Introduction: Although asymptomatic hypophosphatemia is a common finding in diabetic ketoacidosis (DKA), severe symptomatic hypophosphatemia is an uncommon complication.
Case Presentation: We report a 16-year-old female child with DKA, who developed thrombocytopenia, rhabdomyolysis, muscle weakness, and acute renal failure due to severe hypophosphatemia. She was managed with intravenous fluids, insulin infusion, phosphate therapy, and dialysis. After two weeks of hospitalization, the patient was discharged home with no squeal.
Conclusions: In critically ill patients, the symptoms of hypophosphatemia may not be apparent, but clinicians should be vigilant about this complication during therapy. In cases of severe symptoms (e.g., cardiopulmonary distress, anemia and thrombocytopenia, or rhabdomyolysis), phosphate therapy under close surveillance is warranted
Keywords
Child , Diabetes Mellitus Type 1 , Phosphates , Fluid Therapy , Diabetic Complications
Journal title
Journal of Comprehensive Pediatrics
Serial Year
2015
Record number
2519531
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