title: Fulminant type 1 diabetes mellitus.
abstract: We present a fatal case of fulminant type 1 diabetes mellitus that was initially diagnosed as upper respiratory tract infection based on pharyngeal redness at a clinic. However, the patient then went into cardiopulmonary arrest, and was transferred to our hospital for treatment. Testing revealed very high levels of blood glucose (86.9 mmol/l), urinary glucose (2+) and ketones (4+). His glycosylated haemoglobin level was almost normal (6.2%; normal <6.2%). Autopsy revealed marked depletion and atrophy of the islets of Langerhans.
authors.affiliation: Department of Emergency and Critical Care Medicine, Ohta Nishinouchi Hospital, Koriyama, Fukushima, Japan. inokuchir-icu@h.u-tokyo.ac.jp
authors.forename: Ryota
authors.initials: R
authors.lastname: Inokuchi
authors.forename: Akinori
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Hajime
authors.initials: H
authors.lastname: Odajima
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Shinohara
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D044466:Asian People; D001284:Atrophy; D001344:Autopsy; D001786:Blood Glucose / Q000378:metabolism*; D001929:Brain Edema / Q000209:etiology; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000150:complications* / Q000473:pathology; D016883:Diabetic Ketoacidosis / Q000097:blood / Q000150:complications*; D018450:Disease Progression; D017809:Fatal Outcome; D005334:Fever / Q000209:etiology; D006323:Heart Arrest / Q000097:blood / Q000209:etiology*; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology; D007515:Islets of Langerhans / Q000473:pathology; D008297:Male
chemical_list: D001786:Blood Glucose