title: Hyperosmolar non-ketotic diabetic coma and rhabdomyolysis.
abstract: 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.
authors.affiliation: Northwick Park Hospital, Harrow, UK.
authors.forename: D
authors.initials: D
authors.lastname: Trump
authors.forename: S
authors.initials: S
authors.lastname: O'Hanlon
authors.forename: M
authors.initials: M
authors.lastname: Rinsler
authors.forename: P
authors.initials: P
authors.lastname: Sharp
mesh_terms: 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