Pediatric hyperglycemic hyperosmolar syndrome: diagnostic difficulties and high mortality rate

Childhood obesity has become a pandemic health care problem. A complication of childhood obesity is type 2 diabetes mellitus which has increased 10-fold in the past 20 years. A serious complication of type 2 diabetes mellitus is hyperglycemic hyperosmolar syndrome (HHS). The following case is an obe...

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Bibliographic Details
Published in:The American journal of emergency medicine 2006-05, Vol.24 (3), p.297-301
Main Authors: Cochran, Joel B., Walters, Scott, Losek, Joseph D.
Format: Article
Language:English
Subjects:
Abdomen
Adolescent
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Diabetes Mellitus, Type 2 - complications
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Emergency medical care
Fatal Outcome
Forensic medicine
Humans
Hyperglycemia
Hyperglycemic Hyperosmolar Nonketotic Coma - diagnosis
Hyperglycemic Hyperosmolar Nonketotic Coma - mortality
Intensive care medicine
Literature reviews
Male
Medical sciences
Mortality
Obesity
Obesity - complications
Public health. Hygiene
Public health. Hygiene-occupational medicine
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Summary:Childhood obesity has become a pandemic health care problem. A complication of childhood obesity is type 2 diabetes mellitus which has increased 10-fold in the past 20 years. A serious complication of type 2 diabetes mellitus is hyperglycemic hyperosmolar syndrome (HHS). The following case is an obese adolescent boy with a newly diagnosed HHS. The demographic and clinical characteristics of our case and those of 17 other cases from recently published small case series are presented. Of the 18 cases, there were 13 deaths (72%). The purpose of this report and literature review is to emphasize the importance of early diagnoses and treatment of pediatric HHS.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2005.10.007