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CASE REPORTS

DOI : 10.7199/ped.oncall.2012.2
   
 
Unusual Cause of Renal Failure in a Child with Diabetic Ketoacidosis (DKA)
V Poovazhagi, Prabha Senguttuvan, Padmaraj R.
Department of Pediatric Intensive Care, Institute of Child Health and Hospital for Children, Egmore, Chennai, India.
 
Abstract

A previously normal 11 year old male child presented with features of diabetic ketoacidosis (DKA) to our pediatric intensive care unit. He had persistent hypokalemia and raised urea, creatinine despite adequate fluid management and insulin. Investigations revealed very high creatinine phosphokinase (CPK) levels suggesting rhabdomyolysis. He developed acute renal failure (ARF) secondary to rhabdomyolysis and recovered completely following supportive management. Timely identification and intervention may be life saving in this potentially lethal and rare complication of DKA in children.
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