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- Title
Decompression sickness followed by diabetic ketoacidosis and sepsis shock: an unusual case report.
- Authors
Anwei Liu; Xiaogan Hou; Jing Nie; Qiang Wen; Zhiguo Pan
- Abstract
Decompression sickness (DCS) is caused by abrupt changes in extracorporeal pressure with varying severity. Symptoms range from mild musculoskeletal pain to severe organ dysfunction and death, especially among patients with chronic underlying disease. Here, we report an unusual case of a 49-year-old man who experienced DCS after a dive to a depth of 38 meters. The patient's symptoms progressed, starting with mild physical discomfort that progressed to disturbance of consciousness on the second morning. During hospitalization, we identified that in addition to DCS, he had also developed diabetic ketoacidosis, septic shock, and rhabdomyolysis. After carefully balancing the benefits and risks, we decided to provide supportive treatment to sustain vital signs, including ventilation support, sugar- reducing therapy, fluid replacement, and anti-infection medications. We then administered delayed hyperbaric oxygen (HBO2) when his condition was stable. Ultimately, the patient recovered without any sequelae. This is the first case report of a diver suffering from DCS followed by diabetic ketoacidosis and septic shock. We have learned that when DCS and other critical illnesses are highly suspected, it is essential to assess the condition comprehensively and focus on the principal contradiction.
- Subjects
DIABETIC acidosis; DECOMPRESSION sickness; SEPTIC shock; SEPSIS; MUSCULOSKELETAL pain; CHRONICALLY ill
- Publication
Undersea & Hyperbaric Medicine, 2024, Vol 51, Issue 1, p41
- ISSN
1066-2936
- Publication type
Article
- DOI
10.22462/597