Diabetic Ketoacidosis with Spontaneous Pneumomediastinum: A Case Report.

Sung Ho Shin; Doo Man Kim; Ju Ri Park; So Yon Rhee; Jae Sung Ahn; Han Min Park; In Young Park

Spontaneous pneumomediastinum (SPM) is defined as the presence of extraluminal gas in the mediastinal space without any clear traumatic cause. It has been reported in association with asthma exacerbation, emesis, childbirth, seizure, excessive shouting, drug inhalation and diabetic ketoacidosis (DKA). SPM complicated by DKA is infrequently accompanied with chest pain and DKA can lead to changes in respiratory rate and depth; this complication might be underestimated. Here, we report a 21-year-old male with throat pain on swallowing due to SPM complicated by DKA. Clinicians need to consider this complication in differential diagnoses.

DIABETIC acidosis; PNEUMOMEDIASTINUM; DIFFERENTIAL diagnosis; DISEASE exacerbation; VOMITING; RESPIRATORY therapy; CHILDBIRTH; THERAPEUTICS

Journal of Korean Diabetes, 2015, Vol 16, Issue 2, p148

2233-7431

Academic Journal

10.4093/jkd.2015.16.2.148