Research Article | Open Access
Volume 2023 - 1 | Article ID 236 | https://dx.doi.org/10.51521/IJDCR.2023.1102
Academic Editor: Guangyu Li
SNEHA MANESH
Samskruti College Of Pharmacy, Jawaharlal Nehru Technological University, Hyderabad
Corresponding author: Sneha Manesh, Samskruti College Of Pharmacy, Jawaharlal Nehru Technological University, Hyderabad, Email: snehamanesh1915@gmail.com
Citation: Sneha Manesh (2023) Hyperosmolar Hyperglycemic Syndrome with Sepsis Secondary to Urinary Tract Infection – A Case Report. Int J Diabetes Case Rep, 1(1);1-3.
ABSTRACT
Background: Hyperosmolar hyperglycemic syndrome (HHS) is a medical emergency and is a serious complication of type 2 Diabetes mellitus that needs immediate medical intervention. HHS is a less common complication of type 2 Diabetes mellitus. This report is of a woman who has attained menopause and has a history of type 2 Diabetes mellitus, hypertension and Urinary tract infection. The main aim of reporting the present case was to highlight the biochemical investigations involved in the diagnosis of HHS with sepsis secondary to UTI.
Case presentation: A 65-year-old female patient with a history of type 2 Diabetes mellitus, hypertension and urinary tract infection (UTI) was admitted to the emergency department. She had complaints insomnia for 15 days, epigastric discomfort and nausea for 5 days, vomiting and altered sensorium for one day. All the necessary investigations were done. Ketones were found to be present in the urine which is rare in case of HHS and more common in case of diabetic ketoacidosis (DKA).
Conclusion:
This
case highlights an atypical presentation of insomnia in HHS with sepsis and ketonuria This report also highlights
the laboratory differentiators in the diagnosis of HHS from that of
DKA.
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