Diabetic ketoacidosis with its associated complications in a young primigravida in a tertiary health institution in south- south, Nigeria

Callistus Obinna Elegbua, Harold Yiralee Doneh, Bernard B. Akpu, Angela Adaku Elegbua, Promise Onyeka Ubanatu, Oiseremen Samuel Ovbiagele, Kester Obiora Ezewuzie, Jerome Tunde Herbert
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Abstract

Diabetic ketoacidosis is a potentially life-threatening medical emergency. It becomes a catastrophe when it occurs in pregnancy due to maternal and fetal morbidity and mortality associated with it. This case report presents the challenges with respect to diagnosis and management approach in diabetic ketoacidosis, as seen in a case of a 28-year-old primigravida, with diabetic ketoacidosis in pregnancy at Nigerian Navy Reference Hospital, Calabar. She presented with a history of anorexia, protracted vomiting and generalized body weakness. Emphasis would be laid on the adverse outcomes associated with gestational diabetes mellitus.
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尼日利亚南部一家三级医疗机构一名年轻初产妇的糖尿病酮症酸中毒及其相关并发症
糖尿病酮症酸中毒是一种可能危及生命的急症。妊娠期糖尿病酮症酸中毒会导致孕产妇和胎儿的发病率和死亡率,是一场灾难。本病例报告介绍了卡拉巴尔尼日利亚海军参考医院的一例 28 岁初产妇妊娠期糖尿病酮症酸中毒患者在诊断和管理方法方面遇到的挑战。她有厌食、长期呕吐和全身无力的病史。重点将放在与妊娠糖尿病相关的不良后果上。
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