Atypical diabetic ketoacidosis: case report

Balkan Medical Journal
Hüseyin DemirciIşılay Kalan Sarı

Abstract

Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus and can lead to death if untreated. It is a complex metabolic state characterised by hyperglycaemia, acidosis and ketonuria. Bonsai is one of the herbal incense products that contains synthetic cannabinoid and can be easily accessible via the internet in many countries. It cannot be detected in blood and urine studies using conventional methods. Synthetic cannabinoid abuse is associated with severe side effects, including tachycardia, high blood pressure, acidosis, excess sedation and coma. A 17-year-old male patient was brought to the emergency department with sudden onset of dyspnoea. Laboratory investigations revealed hyperglycaemia, acidosis and ketonuria. He was admitted to the intensive care unit with a diagnosis of diabetic ketoacidosis. He was not considered a typical case of diabetic ketoacidosis because of the tendency to hypokalaemia, persistent tachycardia and bronchoscopic findings. We learned from his friends that he had used cannabis for a week and used bonzai on the day that he was brought to the emergency service. Diabetic ketoacidosis with prolonged acidosis and tendency to hypokalaemia are investigated for the cons...Continue Reading

Citations

Sep 14, 2015·Forensic Science International : Synergy·C HessB Madea
Oct 8, 2016·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Juliana TournebizeJean-Pierre Kahn
Aug 29, 2019·Drug Testing and Analysis·Michael T TruverRobert Kronstrand
Apr 9, 2020·Emergency Medicine Australasia : EMA·Adam Morton

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