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Thyrotoxicosis Causing Resistant Metabolic Acidosis in a Patient Presenting with Diabetic Ketoacidosis – A Case Report


Affiliations
1 Santkrupa, Multispeciality Hospital, Nashik, Maharashtra, India
     

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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.

Keywords

thyrotoxicosis, hyperthyroidism, diabetic ketoacidosis, resistant metabolic acidosis.
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  • Devereaux D, Tewelde SZ. Hyperthyroidism and thyrotoxicosis. Emerg Med Clin North Am. 2014;32(2):277-92.

  • 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.

  • 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.

  • Rathish D, Karalliyadda S. Concurrent presentation of thyroid storm and diabetic ketoacidosis: a systematic review of previously reported cases. BMC Endocr Disord. 2019;19(1):49. DOI: 10.1186/s12902-019-0374-3. PMID: 31101104; PMCID: PMC6525384.

  • Nayak B, Burman K. Thyrotoxicosis and thyroid storm. Endocrinol Metab Clin North Am. 2006;35(4):663-86, vii. DOI: 10.1016/j.ecl.2006.09.008. PMID: 17127140.

  • Ahmad S, Yousaf A, Muhammad S, Ghaffar F. Coexistence of diabetic ketoacidosis and thyrotoxicosis: a jeopardy of two endocrine emergencies. BMJ Case Rep. 2021;14(6):e243534. DOI: 10.1136/bcr-2021-243534. PMID: 34130982; PMCID: PMC8208025.


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  • Thyrotoxicosis Causing Resistant Metabolic Acidosis in a Patient Presenting with Diabetic Ketoacidosis – A Case Report

Abstract Views: 210  |  PDF Views: 1

Authors

Dr. Manish Bothara
Santkrupa, Multispeciality Hospital, Nashik, Maharashtra, India
Dr. Rishi Bothara
Santkrupa, Multispeciality Hospital, Nashik, Maharashtra, India
Dr. Abhishek Mandal
Santkrupa, Multispeciality Hospital, Nashik, Maharashtra, India

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.

Keywords


thyrotoxicosis, hyperthyroidism, diabetic ketoacidosis, resistant metabolic acidosis.

References