fant et des conseils clairs pour la prise en charge initiale de l’acidocétose diabétique, l’initiation de l’insulinothérapie, le dépistage des complications et d’ autres. ACD, acidocétose diabétique. D’après Bergenstal et al. [56]. from publication: Practical implementation, education and interpretation guidelines for continuous . Download Citation on ResearchGate | On Oct 1, , L. Cherki and others published P – Acidocétose diabétique: analyse des facteurs de décompensation.

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Physical examination revealed a poor general health status, tachycardia and polymnea, as well as a painful diffuse tumefaction of the neck with subcutaneous emphysema.

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If you want to subscribe to this journal, xcidocetose our rates You can purchase this item in Pay Per View: PneumomediastinumDiabetic acidoketosisMetabolic acidosisHyperventilation.

Complication rare de l’acidocétose diabétique : le pneumomédiastin – EM|consulte

The chest x-ray demonstrated the subcutaneous emphysema and air in the anterior mediastinum. Outline Masquer le plan. Blood tests disclosed elevated glycemia and urine was positive for acetone. It can be a rare complication of diabetic acidoketosis.

The diagnosis of severe metabolic acidosis was retained.

The pneumomediastinum resolved in both patients within three days on average. Top of the page – Article Outline. On the computed tomography scan obtained in the second patient, the heart was silhouetted with a hyperlucent zone laterally. Treatment consisted in strict bed rest with oxygen therapy, fluid replacement, insulin and heparin. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.


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Clinically, the patients presented the cardinal signs of diabetes and a flu-like syndrome associated with dyspnea and chest pain. Journal page Archives Contents list. Personal information regarding our website’s visitors, diabdtique their identity, is confidential. The causal effect of diabetic acidoketosis in the development of pneumomediastinum in our two patients was retained after ruling out all other potential causes, including chest trauma and asthma.

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