title: [Differential diagnosis from hyperglycemic ketoacidosis: pesticide poisoning. Clinical case].
abstract: Diabetic ketoacidosis in children causes serious morbidity and mortality, especially if it is not recognized on time in the initial diagnosis. However, there are other diseases that can appear to be a metabolic disorder of this kind and be ignored if it is not suspected. We present a clinical case with hyperglycemic ketoacidosis due to the contact with organophosphate; we had to use a continuous infusion of insulin to control the metabolic disorder without repercussions after the girl came home.
authors.affiliation: Hospital Pediátrico Baca Ortiz, La Floresta, Quito, 170109, Ecuador. piovp@yahoo.com.mx.
authors.forename: Paola
authors.initials: P
authors.lastname: Vélez
authors.affiliation: Hospital Pediátrico Baca Ortiz, La Floresta, Quito, 170109, Ecuador.
authors.forename: Patricio
authors.initials: P
authors.lastname: Paredes
authors.affiliation: Hospital Pediátrico Baca Ortiz, La Floresta, Quito, 170109, Ecuador.
authors.forename: Frances
authors.initials: F
authors.lastname: Fuenmayor
mesh_terms: D002675:Child, Preschool; D016883:Diabetic Ketoacidosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007328:Insulin; D062025:Organophosphate Poisoning / Q000175:diagnosis*; D010575:Pesticides / Q000506:poisoning*
chemical_list: D007328:Insulin; D010575:Pesticides
keywords: Acetylcholinesterase; Hyperglycemia; Ketoacidosis; Organophosphorus compounds; Seizures