A Fatal Case of Diabetic Coma Without Ketosis

R. C. N., a railroad fireman, aged 22, was brought to the House of Mercy Hospital with a story of having been well until three weeks before, when he had an attack of some acute infection, which was called grip and which lasted a few days. He did not feel well after this and was seen, February 15, by his family physician, who found sugar in his urine and discovered that he was drinking large amounts of water, passing large amounts of urine, and was eating hungrily. February 19, he vomited several times during the night. This was repeated the following day, and February 21, when the vomiting persisted. Drowsiness and deep breathing also being noted, the patient was brought to the hospital. The family and previous history were negative. The patient was fairly well nourished; the temperature was 96.5 F.; pulse, 90; blood pressure, systolic, 42; diastolic, 0. The