[A case of fulminant type 1 diabetes mellitus in an elderly patient who developed cardiopulmonary arrest from diabetic ketoacidosis and whose imaging course was monitored].

Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
Yasunari Yoshida, Tatuya Fujikawa


A 71-year-old man with a history of hypertension and nephrosclerosis visited a primary care doctor for a regular visit. After a few days of vomiting and diarrhea, gastroenteritis was suspected and he was prescribed medication for these symptoms by his previous doctor. The next morning, he visited our hospital complaining of malaise and abdominal distention.The patient's blood glucose level was 1,385 mg/dL, his arterial blood pH was 6.885 (followed by an elevated serum ketone level), and hyperkinesis from diabetic ketoacidosis (DKA) was observed. The patient had experienced cardiopulmonary arrest, likely due to ventricular fibrillation. After cardiopulmonary resuscitation, the patient was admitted to hospital and treated for DKA. The urinary and serum C-peptide levels were below the limit of sensitivity, and anti-glutamic acid decarboxylase antibody and anti-insulinoma-associated antigen-2 antibody were not detected in the serum. These findings were consistent with a diagnosis of fulminant type 1 diabetes mellitus. We herein report a rare case of resuscitation in an elderly patient with fulminant-onset type 1 diabetes mellitus. We carefully observed the imaging history of the patient with great interest.

Related Concepts

Related Feeds


Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Attention Disorders

Attention is involved in all cognitive activities, and attention disorders are reported in patients with various neurological diseases. Here are the latest discoveries pertaining to attention disorders.

Related Papers

Endocrine Journal
Akihisa Imagawa, Toshiaki Hanafusa
Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
Miguel E PintoArturo E Villena
© 2021 Meta ULC. All rights reserved