Thyrotoxicosis Causing Resistant Metabolic Acidosis in a Patient Presenting with Diabetic Ketoacidosis – A Case Report
Keywords:
thyrotoxicosis, hyperthyroidism, diabetic ketoacidosis, resistant metabolic acidosis
Abstract
This is a case report of a 43-year female presenting with diabetic ketoacidosis (DKA) unrelenting to treatment. Subsequent clinical manifestations prompting further investigations revealed the co-existence of hyperthyroidism possibly leading to resistant metabolic acidosis. It underscores the necessity of a high index of suspicion in patients presenting with DKA,
prompt evaluation, and aggressive treatment.
References
1. Devereaux D, Tewelde SZ. Hyperthyroidism and thyrotoxicosis. Emerg Med Clin North Am. 2014;32(2):277-92.
2. Bismuth E, Laffel L. Can we prevent diabetic ketoacidosis in children? Pediatr Diabetes. 2007;8 Suppl 6:24-33. DOI: 10.1111/j.1399-5448.2007.00286.x. PMID: 17727382.
3. Griffiths S, Peak D, Bridwell RE, Long B. Thyroid Storm and Diabetic Ketoacidosis Presenting to the Emergency Department. Cureus. 2020;12(1):e6751. DOI: 10.7759/cureus. 6751. PMID: 32140319; PMCID: PMC7039367.
2. Bismuth E, Laffel L. Can we prevent diabetic ketoacidosis in children? Pediatr Diabetes. 2007;8 Suppl 6:24-33. DOI: 10.1111/j.1399-5448.2007.00286.x. PMID: 17727382.
3. Griffiths S, Peak D, Bridwell RE, Long B. Thyroid Storm and Diabetic Ketoacidosis Presenting to the Emergency Department. Cureus. 2020;12(1):e6751. DOI: 10.7759/cureus. 6751. PMID: 32140319; PMCID: PMC7039367.
Published
2022-12-21
How to Cite
Dr. Manish Bothara, Dr. Rishi Bothara, Dr. Abhishek Mandal. (2022). Thyrotoxicosis Causing Resistant Metabolic Acidosis in a Patient Presenting with Diabetic Ketoacidosis – A Case Report . The Indian Practitioner, 75(12), 25-26. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/1470
Section
Case Reports
