Türk Medline
Dokran

A RARE PRESENTATION OF DIABETIC KETOACIDOSIS: MENINGEAL SYNDROME

NESLİHAN KAYAHAN SATIŞ, İSKENDER ARDA NACAR, BİLGİN BAHADIR BAŞGÖZ, KENAN SAĞLAM, İLKER TAŞÇI

Gulhane Medical Journal - 2019;61(3):135-137

Turkish Ministry of Health, Gülhane Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey

 

Diabetic ketoacidosis (DKA) typically presents with abdominal pain, vomiting, fatigue, and excessive thirst. Although it is a state of acidosis, symptoms related to the central nervous system are not frequent in DKA. We here report our experience of a patient with DKA receiving immunosuppressive drugs due to renal transplantation who initially presented with the meningeal syndrome. The condition resolved quickly after correction of acidosis and hyperglycemia. In this particular case, we had clues for drug-related side effects of immunosuppressants that possibly facilitated the occurrence of meningeal irritation. Our observations may contribute to the care of patients with DKA who are on such treatment regimens.