Document Detail


Diabetic ketoacidosis in children in Khartoum city, Sudan.
MedLine Citation:
PMID:  7925036     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ninety episodes of diabetic ketoacidosis (DKA) in 72 Sudanese children seen during a one year period were investigated. The age of the patients ranged from 3 to 16 years with a median of 12 years. Twenty-two episodes (24%) occurred in newly diagnosed patients and 68 (76%) in previously known diabetic children. The mean observation period defined as the number of days from each one of the episodes until next episode or end of survey divided by the total number of the episodes was 180 days. During this short period of observation 18 recurrent episodes were observed giving an annual recurrent rate of 40%. The classical triad of polyuria, polydipsia and weight loss was a presentation in 83 (92%) episodes; acute abdominal pain and/or vomiting were observed in 69 (77%) episodes and drowsiness or deep coma was seen in 31 (34%) episodes. The most common precipitating causes of DKA in the studied patients with known diabetes were acute infections accounting for 38% of episodes, insulin non-availability for 34% of episodes and errors of treatment for 25%. The outcome of treatment in the whole group was good in the 69 (96%) patients who recovered without complications, but 3 (4%) patients died.
Authors:
A Elamin; K M Kheir; T Tuvemo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  East African medical journal     Volume:  71     ISSN:  0012-835X     ISO Abbreviation:  East Afr Med J     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-11-14     Completed Date:  1994-11-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372766     Medline TA:  East Afr Med J     Country:  KENYA    
Other Details:
Languages:  eng     Pagination:  102-5     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, University of Khartoum, Sudan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Child
Child, Preschool
Diabetic Ketoacidosis / diagnosis,  drug therapy,  epidemiology*,  physiopathology
Female
Humans
Incidence
Insulin / supply & distribution,  therapeutic use
Male
Population Surveillance*
Precipitating Factors
Prospective Studies
Recurrence
Sudan / epidemiology
Survival Rate
Treatment Outcome
Urban Population
Chemical
Reg. No./Substance:
11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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