Harper D E, Waldrop R D
Department of Emergency Medicine, Earl K. Long Medical Center, Baton Rouge, LA 70805, USA.
South Med J. 1996 Jul;89(7):729-31. doi: 10.1097/00007611-199607000-00017.
We present the case of an infant brought to the emergency department with complaints commonly associated with a typical childhood illness. Surprisingly, he was found to have diabetes mellitus with ketoacidosis. The usual symptoms of polyuria, polydipsia, and weight loss attributed to diabetes mellitus were not observed. A fruity smell on his breath led to appropriate laboratory tests and ultimately to the correct diagnosis. We review appropriate management of infantile diabetic ketoacidosis, emphasizing the importance of considering diabetes mellitus and ketoacidosis in infants admitted to the emergency department with common complaints such as vomiting and irritability. As in our case, the clinical finding of a fruity breath smell can be an important factor in diagnosis.
我们报告了一名婴儿被带到急诊科的病例，其主诉通常与典型的儿童疾病相关。令人惊讶的是，他被诊断出患有糖尿病酮症酸中毒。并未观察到糖尿病常见的多尿、多饮和体重减轻症状。他呼出的水果味气息促使进行了适当的实验室检查，最终得出了正确的诊断。我们回顾了婴儿糖尿病酮症酸中毒的适当管理方法，强调对于因呕吐和易怒等常见主诉而入住急诊科的婴儿，考虑糖尿病和酮症酸中毒的重要性。就像我们这个病例一样，呼出水果味气息这一临床发现可能是诊断的重要因素。
