title: New-onset diabetic ketoacidosis in a 13-months old african toddler: a case report.
abstract: Type 1 diabetes mellitus is very rare in infants and toddlers and is usually associated with high mortality when complicated with diabetic ketoacidosis (DKA). Toddlers in DKA are often missed in our typical African setting where there is low index of suspicion. Usually, the classical symptoms are not usually at the forefront and many infants and toddlers who develop DKA are mistreated for infections. The case of a 13-months old toddler with new-onset type 1 diabetes mellitus, complicated with DKA at diagnosis is reported in view of its rarity and elevated mortality even when diagnosed in our African setting. She was subsequently treated with intravenous insulin and was passed over to subcutaneous insulin after the eradication of ketones in urine. She continues follow-up at the out-patient children diabetes clinic at the Bafoussam Regional Hospital.
authors.affiliation: Bafoussam Regional Hospital, Ministry of Public Health, Bafoussam, Cameroon.
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Katte
authors.affiliation: Bafoussam Regional Hospital, Ministry of Public Health, Bafoussam, Cameroon.
authors.forename: Romance
authors.initials: R
authors.lastname: Djoumessi
authors.affiliation: Bafoussam Regional Hospital, Ministry of Public Health, Bafoussam, Cameroon.
authors.forename: Gisele
authors.initials: G
authors.lastname: Njindam
authors.affiliation: Bafoussam Regional Hospital, Ministry of Public Health, Bafoussam, Cameroon.
authors.forename: Gerard Tama
authors.initials: GT
authors.lastname: Fetse
authors.affiliation: Yaoundé Central Hospital, Diabetes and Metabolic Disease Unit, Cameroon.
authors.forename: Mesmin
authors.initials: M
authors.lastname: Dehayem
authors.affiliation: Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; Non-communicable Disease Research Unit, South African Medical Research Council& University of Cape Town, PO Box 19070, Tygerberg, Cape Town 7505, South Africa.
authors.forename: Andre-Pascal
authors.initials: AP
authors.lastname: Kengne
mesh_terms: D044383:Black People; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000188:drug therapy; D016883:Diabetic Ketoacidosis / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007223:Infant; D007328:Insulin / Q000627:therapeutic use*
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
keywords: Africa; Diabetic ketoacidosis; children; diabetes complication