title: Hyperosmolar hyperglycemic syndrome with rhabdomyolysis.
abstract: 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.
authors.affiliation: Department of Clinical Sciences, Northern Michigan University, Marquette, MI 49855, USA. mstunkar@nmu.edu
authors.forename: Mary E
authors.initials: ME
authors.lastname: Stunkard
authors.forename: Valerie T
authors.initials: VT
authors.lastname: Pikul
authors.forename: Kevin
authors.initials: K
authors.lastname: Foley
mesh_terms: D000328:Adult; D003402:Creatine Kinase / Q000097:blood; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000150:complications* / Q000628:therapy; D008297:Male; D011188:Potassium / Q000097:blood; D012206:Rhabdomyolysis / Q000209:etiology*; D012964:Sodium / Q000097:blood
chemical_list: D012964:Sodium; D003402:Creatine Kinase; D011188:Potassium