Author/Authors :
Al-Matrafi, Jamila King Khalid National Guard Hospital, Kingdom of Saudi Arabia , Al-Matrafi, Jamila Children s Hospital of Eastern Ontario - Department of Pediatrics - Division of Nephrology, Canada , Vethamuthu, Jennifer Children s Hospital of Eastern Ontario - Department of Pediatrics - Division of Nephrology, Canada , Feber, Janusz Children s Hospital of Eastern Ontario - Department of Pediatrics - Division of Nephrology, Canada
Abstract :
Acute renal failure (ARF) is a rare but potentially fatal complication of diabetic ketoacidosis (DKA). Early recognition and aggressive treatment of ARF during DKA may improve the prognosis of these patients. We present a case report of a 12 year old female admitted to the hospital with severe DKA as the 1s t manifestation of her diabetes mellitus. She presented with severe metabolic acidosis, hypophosphatemia, and oliguric ARF. In addition, rhabdomyolysis was noted during the course of DKA which probably contributed to the ARF. Management of DKA and renal replacement therapy resulted in quick recovery of renal function. We suggest that early initiation of renal replacement therapy for patients with DKA developing ARF may improve the potentially poor outcome of patients with ARF associated with DKA.
