A Case of Persistent Vegetative State after Diabetic Ketoacidosis Triggered by an Overdose of Psychotropic Agents

Takeshi Kawashita; Mikio Nakajima; Richard H. Kaszynski; Masamitsu Shirokawa; Tomotsugu Nakano; Koji Ochiai; Yoshitaka Inoue; Hideaki Goto

doi:10.2169/internalmedicine.1041-18

この記事には本公開記事があります。本公開記事を参照してください。
引用する場合も本公開記事を引用してください。

A Case of Persistent Vegetative State after Diabetic Ketoacidosis Triggered by an Overdose of Psychotropic Agents

Takeshi Kawashita, Mikio Nakajima, Richard H. Kaszynski, Masamitsu Shirokawa, Tomotsugu Nakano, Koji Ochiai, Yoshitaka Inoue, Hideaki Goto

著者情報

キーワード: diabetic ketoacidosis, hypoglycemia, hypoxic-ischemic brain injury, drug overdose, persistent vegetative state

ジャーナルオープンアクセス早期公開

論文ID: 1041-18

DOI https://doi.org/10.2169/internalmedicine.1041-18

この記事には本公開記事があります。

The final version of this article is now available: Vol. 58 (2019), No. 2 pp. 247-250

詳細

抄録

A 28-year-old man with type 1 diabetes mellitus was admitted for shock and coma due to diabetic ketoacidosis. Despite aggressive treatment and management of the patient's underlying clinical issues, the patient remained in a comatose state. Further investigations revealed an excess consumption of psychotropic agents; however, there was no evidence of an insulin overdose. Physicians should be aware that, in patients who are highly dependent upon insulin, an overdose of psychotropic agents can lead to hypoxic-ischemic brain injury.

責任著者(Corresponding author)

J-STAGEへの登録はこちら（無料）