Sepsis in Type 1 Diabetes Mellitus with Diabetic Ketoacidosis

Dinda Aprilia, Eva Decroli, Alexander Kam, Afdol Rahmadi, Asman Manaf, Syafril Syahbuddin

2019

Abstract

Introduction: Infection is the most common predisposing factor for the development of a hyperglycemic crisis, which is diabetic ketoacidosis (DKA). Type 1 diabetes mellitus patients have a higher risk of infection than type 2 diabetes mellitus patients. Method: Case report Results: A 19-year-old man presented with decreased consciousness. Before he was unconscious, the patient complained of vomiting, breathlessness, cough, and fever. There was no family history of diabetes mellitus. On general examination, he appeared with soporous, Kussmaul breathing with the respiratory rate was 34 times/minute, blood pressure was 130/80 mmHg, pulse rate was 115 beats/minute, and the temperature was 38.4˚C. His body mass index was 18.49. There were rales in the pulmonary examination. Laboratory investigation results were as follows: hemoglobin 13.8 gr/dl; white blood cell count 16.900/ mm3; random blood glucose 589 mg/dl; HbA1c 14.06%; C-peptide 0.2 ng/ml; creatinine 1,0 mg/dl; metabolic acidosis in arterial blood gas; ketouria +++. Thorax x-ray confirmed pneumonia in this patient. Patient treated with DKA management and sepsis. On the second day, the treatment of DKA was resolved and continued with the administration of short-acting insulin and regular long acting. Conclusion: Type 1 diabetes mellitus patients are more susceptible to infection than type 2 diabetes mellitus patients. Education and management strategies with both patients and their caregivers are important to improve the glycemic control and reduce the risk of developing severe infections and poor treatment outcomes.

Paper Citation

in Harvard Style

Aprilia D., Decroli E., Kam A., Rahmadi A., Manaf A. and Syahbuddin S. (2019). Sepsis in Type 1 Diabetes Mellitus with Diabetic Ketoacidosis.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 72-74. DOI: 10.5220/0009859200720074

in Bibtex Style

@conference{ictromi19,
author={Dinda Aprilia and Eva Decroli and Alexander Kam and Afdol Rahmadi and Asman Manaf and Syafril Syahbuddin},
title={Sepsis in Type 1 Diabetes Mellitus with Diabetic Ketoacidosis},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={72-74},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009859200720074},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Sepsis in Type 1 Diabetes Mellitus with Diabetic Ketoacidosis
SN - 978-989-758-469-5
AU - Aprilia D.
AU - Decroli E.
AU - Kam A.
AU - Rahmadi A.
AU - Manaf A.
AU - Syahbuddin S.
PY - 2019
SP - 72
EP - 74
DO - 10.5220/0009859200720074