ArticleAnnals of pediatric endocrinology & metabolism2018
Respiratory failure in a diabetic ketoacidosis patient with severe hypophosphatemia.
Article in Annals of pediatric endocrinology & metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 26 citations in OpenAlex.
- The Prevalence of Hypophosphatemia and its Associated Risk Factors in Diabetic Ketoacidosis Patients.Journal of the ASEAN Federation of Endocrine Societies · 2025Article
- Case report: Takotsubo cardiomyopathy and cardiac arrest in a 9-year-old girl with new-onset diabetes presenting with diabetic ketoacidosis: the chicken or the egg?Frontiers in endocrinology · 2025Article
- Nomogram for predicting early hypophosphatemia in term infants.BMC pediatrics · 2024Article
- Hypophosphatemia: A Common but Overlooked Cause of Cardiac Dysfunction in a Child with DKA.Indian journal of pediatrics · 2024Article
- Phosphate Homeostasis and Disorders of Phosphate Metabolism.Current pediatric reviews · 2024Review
- Treatment Outcome and Associated Factors among Type 1 Diabetic Children Admitted with DKA in Bahir Dar City Public Referral Hospital, Northwest, Ethiopia: A Cross-sectional Study.Global pediatric health · 2024Article
- Current recommendations for management of paediatric diabetic ketoacidosis.Paediatrics & child health · 2023Review
- Les recommandations en vigueur pour la prise en charge de l'acidocétose diabétique pédiatrique.Paediatrics & child health · 2023Review
- Phosphate and fibroblast growth factor 23 in diabetes.Clinical science (London, England : 1979) · 2021Review
- [Confusion, tachypnea, and tachycardia in a 71-year-old man with type 2 diabetes mellitus].Der Internist · 2021Article
- Incidence and determinants of hypophosphatemia in diabetic ketoacidosis: an observational study.BMJ open diabetes research & care · 2021Observational
- Nutritional approach for increasing public health during pandemic of COVID-19: A comprehensive review of antiviral nutrients and nutraceuticals.Health promotion perspectives · 2021Review
- Diabetic ketoacidosis.Nature reviews. Disease primers · 2020Review
- The Corrected Serum Sodium Concentration in Hyperglycemic Crises: Computation and Clinical Applications.Frontiers in medicine · 2020Article
- Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report.Italian journal of pediatrics · 2019Article
- Effects of diabetic ketoacidosis in the respiratory system.World journal of diabetes · 2019Review
- Myocardial dysfunction associated with diabetic ketoacidosis in a 5-year-old girl.SAGE open medical case reports · 2019Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Phosphate is essential in regulating human metabolic processes, and severe hypophosphatemia can induce neurologic and hematological complications and result in respiratory failure and cardiac dysfunction. Therefore, correction of severe hypophosphatemia can be pivotal in the management of diabetic ketoacidosis (DKA). We report the case of a 14-year-old female who was diagnosed with type 1 diabetes and referred to our institute for treatment of DKA. Although the patient received fluid and continuous insulin administration according to the current DKA treatment protocol, generalized tonic seizures and cardiac arrest developed. After cardiopulmonary resuscitation, the patient recovered and was stable. Within 16 hours after DKA treatment, the patient developed respiratory failure with severe hypophosphatemia that required mechanical ventilation. Concurrent neurologic evaluation revealed no specific abnormalities. The patient recovered without any complications after correcting the hypophosphatemia. We suggest vigilant monitoring of the phosphate level in DKA patients and active replacement when required.
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