RT Journal Article
SR Electronic
T1 Hyperosmolar Hyperglycemic Syndrome with Rhabdomyolysis
JF American Society for Clinical Laboratory Science
JO Clin Lab Sci
FD American Society of Chemistry and Laboratory Science
SP 8
OP 13
DO 10.29074/ascls.24.1.8
VO 24
IS 1
A1 Stunkard, Mary E.
A1 Pikul, Valerie T.
A1 Foley, Kevin
YR 2011
UL http://hwmaint.clsjournal.ascls.org/content/24/1/8.abstract
AB In this report we describe a patient who presented with nausea, vomiting, diarrhea, tachypnea and mental impairment. The patient had elevated serum lipase, troponin-I, creatinine kinase and myoglobin along with severe hyperglycemia (> 2000 mg/dl) and no ketouria. This patient was found to have nonketotic hyperosmolar hyperglycemia with concomitant rhabdomyolysis and myocardial infarction.ABBREVIATIONS: CK, creatine phosphokinase, CT, computed axial tomography, DKA, diabetic ketoacidosis, HHS, hyperosmolar hyperglycemic syndrome, BUN, blood urea nitrogen, GFR, glomerular filtration rate, TnI, troponin-I, WBC, white blood cell count.