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[Hyperosmolar hyperglycemic coma in a 10-year-old patient]
1Detské oddelenie Krajského ústavu národného zdravia, Banská Bystrica.
Insights
A child experienced sudden unconsciousness, diagnosed as hyperosmolar hyperglycaemic coma. Prompt fluid and ion repletion, alongside careful balancing, are crucial for successful treatment and preventing complications.
Area of Science:
- Pediatrics
- Endocrinology
- Emergency Medicine
Background:
- Hyperosmolar hyperglycaemic coma (HHC) is a serious diabetic complication.
- Prompt diagnosis and management are vital for pediatric patients.
Observation:
- A 10-year-old child presented with sudden unconsciousness during a preoperative examination.
- Clinical findings and laboratory results indicated hyperosmolar hyperglycaemic coma.
Findings:
- The case highlights the clinical course and therapeutic interventions for HHC.
- Adequate fluid and electrolyte (ion) repletion and balancing are critical treatment components.
Implications:
- Understanding HHC management is essential for pediatric critical care.
- Awareness of potential treatment complications can improve patient outcomes.
Abstract:
A ten-year-old patient referred to a child ambulatory for preoperative examination suddenly falls unconscious. The physical finding and laboratory results suggest hyperosmolar hyperglycaemic coma. The authors describe the clinical course and therapeutic procedure. They draw attention to adequate fluid and ion repletion, to the importance of their balancing and to possible complications of treatment.