A Remarkable Elevation in the Procalcitonin Levels Due to Diabetic Ketoacidosis in a Hemodialysis Patient
| Autor: | Kaori Yoshikane, Shohei Fukunaga, Hiroaki Shiina, Takafumi Ito, Asuka Yamauchi, Yuki Hoshino, Shiho Kato, Miharu Kawanishi, Kazuaki Tanabe, Hirotaka Sonoda |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Microbiological culture Diabetic ketoacidosis endocrine system diseases medicine.medical_treatment Case Report Urine 030204 cardiovascular system & hematology Gastroenterology Procalcitonin Diabetic nephropathy 03 medical and health sciences 0302 clinical medicine Level of consciousness diabetic ketoacidosis Renal Dialysis Internal medicine parasitic diseases Internal Medicine medicine Humans hemodialysis business.industry nutritional and metabolic diseases General Medicine medicine.disease bacterial infections and mycoses Vomiting 030211 gastroenterology & hepatology Hemodialysis medicine.symptom business hormones hormone substitutes and hormone antagonists Biomarkers |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | Procalcitonin (PCT), a marker of the inflammatory response during infections, can be elevated by diabetic ketoacidosis (DKA). A male patient in his 50s with diabetic nephropathy on hemodialysis presented with vomiting and a reduced level of consciousness and was diagnosed with DKA. His PCT level was markedly elevated, but bacterial cultures (blood, urine, and stool) were negative. The PCT level decreased after DKA improvement. In this patient, DKA probably enhanced the PCT levels. As DKA can increase the PCT levels, an elevation of the PCT levels in DKA patients may not be indicative of infectious diseases, and non-infectious causes of DKA should therefore be considered. |
| Databáze: | OpenAIRE |
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