Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male
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...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2019/4790320 |
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| _version_ | 1832563545353486336 |
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| author | Amit Toor Anika Toor Mahesh Krishnamurthy |
| author_facet | Amit Toor Anika Toor Mahesh Krishnamurthy |
| author_sort | Amit Toor |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1c301113f759483fbffd8da983eb6277 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-1c301113f759483fbffd8da983eb62772025-02-03T01:13:13ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/47903204790320Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic MaleAmit Toor0Anika Toor1Mahesh Krishnamurthy2Department of Internal Medicine, Easton Hospital, Easton, Pennsylvania, USADepartment of Internal Medicine, Easton Hospital, Easton, Pennsylvania, USADepartment of Internal Medicine, Easton Hospital, Easton, Pennsylvania, USAWe 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.http://dx.doi.org/10.1155/2019/4790320 |
| spellingShingle | Amit Toor Anika Toor Mahesh Krishnamurthy Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male Case Reports in Critical Care |
| title | Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male |
| title_full | Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male |
| title_fullStr | Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male |
| title_full_unstemmed | Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male |
| title_short | Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male |
| title_sort | critical illness associated fatal hypoglycemia in a nondiabetic male |
| url | http://dx.doi.org/10.1155/2019/4790320 |
| work_keys_str_mv | AT amittoor criticalillnessassociatedfatalhypoglycemiainanondiabeticmale AT anikatoor criticalillnessassociatedfatalhypoglycemiainanondiabeticmale AT maheshkrishnamurthy criticalillnessassociatedfatalhypoglycemiainanondiabeticmale |