Key result
Severe pediatric diabetic ketoacidosis progresses to refractory shock, dilated cardiomyopathy, and AKI despite management.
Why the study?
Severe diabetic ketoacidosis in children can lead to complications such as refractory shock and dilated cardiomyopathy, which are not well characterized.
Case Report (n=1)
Severe diabetic ketoacidosis in adolescents can rarely be complicated by refractory shock and dilated cardiomyopathy.
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Alerts clinicians to rare refractory pediatric DKA; leaves open need for prospective studies on atypical responses.
Gawhale et al. (2025) conducted a case report in Diabetic ketoacidosis (n=1). Severe diabetic ketoacidosis was evaluated. Severe diabetic ketoacidosis in a child progressed to refractory shock, dilated cardiomyopathy, and acute kidney injury despite management.