Article:
New-onset severe diabetic ketoacidosis in a 13-months old Nepali toddler: a case report

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creativeworkseries.issnOnline ISSN: 2676-1424; Print ISSN: 2676-1319
dc.contributor.authorBasnet, Bijay
dc.contributor.authorBhattarai, Chaitanya Darshan
dc.contributor.authorBhatt, Rohit
dc.contributor.authorChimoriya, Romila
dc.contributor.authorAdhikari, Kushal
dc.contributor.authorYadav, Birendra Kumar
dc.creator.affiliationIntern, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Pediatrics, Nepal Medical College and Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationIntern, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationDepartment of Pediatrics, Nepal Medical College and Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationIntern, Nepal Medical College Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu
dc.creator.affiliationTelemedicine Center, COVID-19 Unified Hospital, Bir Hospital, Kantipath, Kathmandu
dc.date.accessioned2026-11-02T08:39:58Z
dc.date.available2026-11-02T08:39:58Z
dc.date.issued2023
dc.description.abstractAbstract: Diabetes mellitus (DM) is a glucose metabolism disorder with diabetic ketoacidosis (DKA) being the most common complication associated with significant morbidity and mortality. Unlike other patients with typical symptoms of abdominal discomfort, pain, nausea and emesis of DKA, our patient presented with atypical symptoms such as cough, runny nose and fast breathing. This symptoms would have initially misled with diagnosis of respiratory tract infection, which would have caused delay in the treatment of DKA. In our patient DKA was treated with intravenous fluid replacement followed by intravenous insulin infusion, along with monitoring of blood glucose and electrolyte levels. We would like to emphasize that DKA can be precipitated by simple upper respiratory tract infection in toddlers with undiagnosed type 1 DM. Hence, random blood sugar measurement and urine for ketone bodies test should be performed if feasible in sick patients presenting with respiratory tract illness-like symptoms.
dc.identifier.doihttps://doi.org/10.3126/nmcj.v25i3.59022
dc.identifier.urihttps://hdl.handle.net/20.500.14572/8298
dc.language.isoen_US
dc.publisherNepal Medical College Pvt. Ltd.
dc.subjectDiabetes
dc.subjectDiabetic ketoacidosis
dc.subjectRandom blood sugar
dc.subjectUrine ketone bodies
dc.titleNew-onset severe diabetic ketoacidosis in a 13-months old Nepali toddler: a case report
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage267
oaire.citation.startPage265
relation.isJournalIssueOfPublication5258e331-b1bd-41c8-ac28-d151c61e7539
relation.isJournalIssueOfPublication.latestForDiscovery5258e331-b1bd-41c8-ac28-d151c61e7539
relation.isJournalOfPublication865934c8-5e95-468c-8ca6-7bb2529e4064

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