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KMID : 0370920140310020099
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Yeungnam Univercity Journal of Medicine
2014 Volume.31 No. 2 p.99 ~ p.102
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Diabetic ketoacidosis with pulmonary thromboembolism
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Kim Dong-Min
Lee Jeong-Hun
Nam Soo-Min
Lee Yeon-Sun
Moon Hee
Lee Kang-Woo
Jang In-Wook
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Abstract
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Diabetic ketoacidosis (DKA), a fatal acute diabetic complication, is characterized by severe metabolic decompensation and intravascular volume depletion. These conditions may result in hypercoagulability and prothrombic state. Pulmonary thromboembolism (PTE) could be presented as an uncommon and life-threatening complication of DKA. Reported herein is a case involving a 54-year-old male patient who was admitted with DKA due to chronic alcohol consumption and stopping the intake of oral antidiabetic drugs. After low-molecular-weight heparin and warfarin treatment because of PTE during the DKA treatment, the patient’s condition improved over the week that he was discharged on insulin and warfarin.
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KEYWORD
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Diabetic ketoacidosis, Pulmonary embolism, Anticoagulants
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