Severe allergic reaction to human insulin in the patient with diabetic ketoacidosis.
| Autor: | Oray NC; Dokuz Eylul University, Faculty of Medicine, Department of Emergency Medicine, Balcova, 35340, Izmir, Turkey., Bayram B; Dokuz Eylul University, Faculty of Medicine, Department of Emergency Medicine, Balcova, 35340, Izmir, Turkey., Altintas E; Adiyaman University, Training and Research Hospital, Department of Emergency Medicine, Adiyaman, Turkey., Sivrikaya S; Artvin State Hospital, Department of Emergency Medicine, Artvin, Turkey., Savran Y; Dokuz Eylul University, Faculty of Medicine, Department of Internal Medicine, Balcova, 35340, Izmir, Turkey. |
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| Jazyk: | angličtina |
| Zdroj: | Turkish journal of emergency medicine [Turk J Emerg Med] 2017 Aug 12; Vol. 18 (1), pp. 40-41. Date of Electronic Publication: 2017 Aug 12 (Print Publication: 2018). |
| DOI: | 10.1016/j.tjem.2017.07.004 |
| Abstrakt: | Diabetic ketoacidosis (DKA) is an acute and major life-threatening complication of diabetes mellitus. Fluid resuscitation, insulin therapy, and electrolyte replacement are essential for DKA treatment. Rarely, life threatening allergic reactions might develop in a patient treated with insulin. If anaphylaxis develops after insulin, the DKA treatment options are restricted. A limited number of case reports have been reported in patients with severe anaphylactic reactions to human insulin who were then treated with synthetic insulin analogues. We present a case of a 45-year-old male patient with allergic reactions to human insulin. The patient was successfully treated with insulin aspart and hemodialysis. |
| Databáze: | MEDLINE |
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