Peripheral vascular thromboembolism is a rare but severe complication of diabetic ketoacidosis that requires increased clinical focus.
Alerts to rare DKA thromboembolism risking amputation; case report leaves optimal management open.
Peripheral vascular thromboembolism is a rarely described complication of diabetic ketoacidosis. We report a 41-year-old otherwise healthy man admitted with ketoacidosis and ischaemia of the left foot. The patient was unsuccessfully treated with thromboendarterectomy, and the extremity was ultimately amputated. The patient had no family history of cardiovascular disease, and all blood sample analyses for hypercoagulability were negative. We recommend an increased focus on peripheral thromboembolism, when treating patients with severe ketoacidosis.
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Jørgensen et al. (2014) studied this question.
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