Title of article :
Spontaneous pneumomediastinum in a child with diabetic ketoacidosis: A rare complication
Author/Authors :
Kiani ، Masood Non-Communicable Pediatric Diseases Research Center, Health Research Institute, The Clinical Research Development Unit of Amirkola Children s Hospital - Babol University of Medical Sciences , Alijanpour ، Morteza Non-Communicable Pediatric Diseases Research Center, Health Research Institute, The Clinical Research Development Unit of Amirkola Children s Hospital - Babol University of Medical Sciences , Motadel ، Maedeh Student Research Committee - Babol University of Medical Sciences
Abstract :
Background: Spontaneous pneumomediastinium (SPM) can be due to increased intrathoracic pressure. Its occurrence with Diabetic Ketoacidosis (DKA) is a very rare, but may be caused by severe vomiting or deep, rapid, and labored (Kussmaul) breathing. Case Report: The patient is a 15-year-old girl with a history of type 1 diabetes mellitus (T1DM) who has been hospitalized due to nausea, severe vomiting, dyspnea, abdominal and chest pain. Based on physical examination and imaging (CXR and chest CT scan), pneumomediastinium (PM) was confirmed. The patient received conservative treatment for PM and treatment for DKA. The patient finally discharged after 5 days in a good general condition. Conclusion: SPM is a rare complication of DKA, usually with a good prognosis if diagnosed and treated timely.
Keywords :
Diabetic Ketoacidosis , Intrathoracic Pressure , Pneumomediastinum , Vomiting
Journal title :
Caspian Journal of Pediatrics
Journal title :
Caspian Journal of Pediatrics
