Diabetic Ketoacidosis and Acute Coronary Syndrome Due to Neck Abscess

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Nurhasan Agung Prabowo Hana Indriyah Dewi Adhizti Naluriannisa Edya Nugraha Tonang Dwi Ardyanto


Diabetic ketoacidosis (DKA) is a life-threatening consequence of diabetes mellitus. Infection is the most common cause of DKA. A 41-year-old man came to the hospital emergency department with shortness of breath the day before, nausea, vomiting, coughing, pain and swelling in the left neck. The patient has a history of uncontrolled diabetes. A physical examination revealed Kussmaul's breathing and a lump the size of a tennis ball on the left side of his neck. Laboratory findings are: leukocytosis, an increase in blood sugar of 512 mg/dL; blood gas analysis shows acidosis, ketone examination reveals ketonuria; Electrocardiography shows waves of ischemic heart disease, with elevated Hs Troponin. Fine needle examination of the lump shows a neck abscess. The patient was diagnosed with DKA in type 2 diabetes mellitus, with the acute coronary syndrome and neck abscess. Surgical debridement, antibiotics, acute coronary syndrome therapy, and DKA therapy are treatments. The patient responded well to treatment.


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PRABOWO, Nurhasan Agung et al. Diabetic Ketoacidosis and Acute Coronary Syndrome Due to Neck Abscess. Medical Research Archives, [S.l.], v. 10, n. 7, july 2022. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2896>. Date accessed: 23 july 2024. doi: https://doi.org/10.18103/mra.v10i7.2896.
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