RT Journal
A1 Goldman SL
T1 HYperglycemic hyperosmolar coma in a 9-month-old child
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1979
FD February 1
VO 133
IS 2
SP 181
OP 183
DO 10.1001/archpedi.1979.02130020073015
UL http://dx.doi.org/10.1001/archpedi.1979.02130020073015
AB • Hyperglycemic hyperosmolar coma is a life-threatening emergency with a mortality much higher than that of other forms of hyperosmolarity such as hypernatremia or diabetic ketoacidosis. Despite the differences in the three conditions, present evidence suggests that correction of hyperosmolarity should proceed slowly to avoid the seizures that may occur in all three conditions.This report describes a 9-month-old diabetic child who initially had hyperglycemic hyperosmolar coma and who is one of the youngest survivors of this syndrome in the American literature. This case report points out the limited understanding of the pathophysiology of this syndrome and the consequent problems of therapy.(Am J Dis Child 133:181-183, 1979)