fant et des conseils clairs pour la prise en charge initiale de l’acidocétose diabétique, l’initiation de l’insulinothérapie, le dépistage des complications et d’ autres. ACD, acidocétose diabétique. D’après Bergenstal et al. [56]. from publication: Practical implementation, education and interpretation guidelines for continuous . Download Citation on ResearchGate | On Oct 1, , L. Cherki and others published P – Acidocétose diabétique: analyse des facteurs de décompensation.

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On the computed tomography scan obtained in the second patient, the heart was silhouetted with a hyperlucent zone laterally.

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It can be a rare complication of diabetic acidoketosis. The chest x-ray demonstrated the subcutaneous emphysema and air in the anterior mediastinum. Physical examination revealed a poor general health status, tachycardia and polymnea, as well as a painful diffuse tumefaction of the neck with subcutaneous emphysema. The causal effect of diabetic acidoketosis in the development of pneumomediastinum in our two patients was retained after ruling out all diabetiqhe potential causes, including chest trauma and asthma.


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Treatment consisted in strict bed rest with oxygen therapy, fluid replacement, insulin and heparin. PneumomediastinumDiabetic acidoketosisMetabolic acidosisHyperventilation. The diagnosis of severe metabolic acidosis was retained. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen.

Access to the text HTML. The pneumomediastinum resolved in both patients within three days on average.

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Clinically, the patients presented the cardinal signs of diabetes and a flu-like syndrome associated with dyspnea and chest pain. Contact Help Who are we? Top of the page – Article Outline.

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