Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male.
Publication/Presentation Date
1-1-2019
Abstract
We present here the case of a 55-year-old male who presented to the emergency department with severe abdominal pain and respiratory distress secondary to mesenteric ischemia. His critical illness on preexisting chronic kidney disease, previously undiagnosed alcoholic cirrhosis, and congestive heart failure led to a rare yet fatal consequence of refractory hypoglycemia. Critical illness associated hypoglycemia generally occurs as a result of high metabolic consumption with relative insulin excess and insufficient nutritional intake that is seen frequently in critically ill patients. This, along with reduced hepatic and renal gluconeogenesis seen in preexisting liver and renal disease, can cumulate to life-threatening hypoglycemia and is seen as a poor prognostic factor in the ICU setting.
Volume
2019
First Page
4790320
Last Page
4790320
ISSN
2090-6420
Published In/Presented At
Toor, A., Toor, A., & Krishnamurthy, M. (2019). Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male. Case reports in critical care, 2019, 4790320. https://doi.org/10.1155/2019/4790320
Disciplines
Medicine and Health Sciences
PubMedID
31263604
Department(s)
Department of Medicine
Document Type
Article