Hypothermia as a forgotten sign of prolonged severe hypoglycaemia
| Autor: | Fahad Syed Naseerullah, Avinash Murthy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Cardiac Catheterization Myocardial Infarction 030209 endocrinology & metabolism Hypothermia 030204 cardiovascular system & hematology Chest pain Bedtime Sepsis Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Preoperative Care medicine Endocrine system Humans Myocardial infarction Infusions Intravenous business.industry Insulin glargine General Medicine Middle Aged medicine.disease Reminder of Important Clinical Lesson Hypoglycemia Glucose Diabetes Mellitus Type 2 Anesthesia medicine.symptom business medicine.drug |
| Zdroj: | BMJ Case Rep |
| Popis: | Hypothermia is often a sign of serious illness. Commonly reported aetiologies include but are not limited to sepsis, exposure to cold and endocrine disorders. Hypoglycaemia, a common occurrence, is rarely associated with hypothermia. We present a case of prolonged, severe hypothermia due to hypoglycaemia. A 58-year-old man with diabetes who presented with chest pain and was diagnosed with Non-ST elevation myocardial infarction. He was given nothing per mouth in preparation for a left heart catheterisation but received his reported insulin glargine dosage at bedtime. A few hours later, he was noted to have diaphoresis and hypoglycaemia, and his temperature steadily started dropping which was unresponsive to local warming. Once his hypoglycaemia was successfully treated with dextrose infusion, his temperature improved. An extensive workup revealed no infective or endocrine disorder. |
| Databáze: | OpenAIRE |
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