GULHANE MEDICAL JOURNAL 2019 , Vol 61 , Issue 3
A rare presentation of diabetic ketoacidosis: Meningeal syndrome
Neslihan Kayahan Satış1,İskender Arda Nacar1,Bilgin Bahadır Başgöz1,Kenan Sağlam1,İlker Taşçı1,
1Turkish Ministry of Health, Gülhane Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey
2University of Health Sciences, Gülhane Faculty of Medicine, Department of Internal Medicine, Ankara, Turkey
DOI : 10.26657/gulhane.00072 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. Keywords : Diabetic Ketoacidosis, Meningism, Aseptic Meningitis, Brain edema, Diabetic Ketoacidosis