Case report: management of a young male patient with diabetic ketoacidosis and thyroid storm.
| Autor: | Huang X; Emergency & Disaster Medicine Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China., Chen Y; Department of Endocrinology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China., Huang X; Department of Endocrinology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China., Tang J; Department of Endocrinology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in endocrinology [Front Endocrinol (Lausanne)] 2024 Jun 17; Vol. 15, pp. 1403893. Date of Electronic Publication: 2024 Jun 17 (Print Publication: 2024). |
| DOI: | 10.3389/fendo.2024.1403893 |
| Abstrakt: | This report describes a case of concomitant diabetic ketoacidosis (DKA) and thyroid storm (TS) in a 20-year-old male patient that presented both diagnostic and management challenges owing to their intricate interrelationship in endocrine-metabolic disorders. The patient, previously diagnosed with type 1 diabetes mellitus (T1DM) and hyperthyroidism, was admitted to the emergency department with symptoms of DKA and progressive exacerbation of TS. Initial treatment focused on correcting DKA; as the disease progressed to TS, it was promptly recognized and treated. This case emphasizes the rarity of simultaneous occurrence of DKA and TS, as well as the challenges in clinical diagnosis posed by the interacting pathophysiological processes and overlapping clinical manifestations of DKA and TS. The patient's treatment process involved multiple disciplines, and after treatment, the patient's critical condition of both endocrine metabolic diseases was alleviated, after which he recovered and was eventually discharged from the hospital. This case report aims to emphasize the need for heightened awareness in patients with complex clinical presentations, stress the possibility of concurrent complications, and underscore the importance of prompt and collaborative treatment strategies. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Huang, Chen, Huang and Tang.) |
| Databáze: | MEDLINE |
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