ISSN - 0973-0958

Pediatric Oncall Journal View Article

Unusual Complication in a Child with Diabetic Ketoacidosis
Swapna Ponnambalam, Poovazhagi Varadarajan, Seenivasan Subramani, Ramesh Subramanian.
Pediatric Intensive Care Unit, Department of Pediatrics, Institute of child health, Egmore, Tamil Nadu, India.
Thrombotic microangiopathy in association with diabetic ketoacidosis (DKA) is a rare entity. We describe a two-year-old child presenting with new onset DKA who developed microangiopathic hemolytic anemia, thrombocytopenia, renal failure, fever and altered sensorium during treatment. Thrombotic thrombocytopenic purpura (TTP) was suspected and prompt treatment initiation with fresh frozen plasma halted the ongoing hemolysis. Child however had regression of milestones which he subsequently regained and is being followed up.

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