Central Diabetes Insipidus and Hyperglycemic Hyperosmolar State Following Accidental Carbon Monoxide Poisoning
| Autor: | Syed Nayer Mahmud, Amna Rasheed, Zain Ul Abideen, Furqan Ali, Yusaf Farooq Qasim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Poison control
carbon monoxide 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Polyuria medicine 030212 general & internal medicine hypernatremia Carbon monoxide poisoning business.industry hyperosmolar hyperglycemic state General Engineering Endocrinology/Diabetes/Metabolism 030208 emergency & critical care medicine medicine.disease central diabetes insipidus chemistry Neurology Nephrology Anesthesia Diabetes insipidus Hyperosmolar hyperglycemic state polyuria Hypernatremia medicine.symptom Complication business Carbon monoxide |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Carbon monoxide poisoning is common and carries significant morbidity and mortality. The nervous system, particularly the brain, is frequently affected by it, owing to its high metabolic activity and oxygen requirements. Carbon monoxide damages the nervous system by both hypoxic and inflammatory mechanisms. Central diabetes insipidus is an extremely rare complication of carbon monoxide poisoning. Herein, we report the case of a young lady, who developed this complication and severe hypernatremia after accidental carbon monoxide poisoning. She also developed a hyperglycemic hyperosmolar state during the treatment for hypernatremia. To the best of our knowledge, both these entities have not been reported together in association with carbon monoxide poisoning. The purpose of this article is to emphasize the anticipation and early recognition of central diabetes insipidus in carbon monoxide poisoning. This can prevent severe hypernatremia and complications associated with its presence and treatment. |
| Databáze: | OpenAIRE |
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