Hyperosmolar non-ketotic diabetic coma and rhabdomyolysis.
Rhabdomyolysis is a rare but potentially fatal complication of hyperosmolar states. We report a case of severe hyperosmolar non-ketotic diabetic coma causing rhabdomyolysis in a young man. Despite very high levels of creatine kinase there was no detectable myoglobinuria. Creatine kinase estimation should be a standard investigation in all patients presenting with a hyperosmolar state.
Trump
D
D
Northwick Park Hospital, Harrow, UK.
O'Hanlon
S
S
Rinsler
M
M
Sharp
P
P
D000328:Adult; D003926:Diabetic Coma / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D009132:Muscles / Q000473:pathology; D009994:Osmolar Concentration; D012206:Rhabdomyolysis / Q000209:etiology* / Q000473:pathology