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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/14691

Title: Diabetic Ketoacidosis Misdiagnosed and Managed as Typhoid Ileal Perforation in a Ghanaian Child: A Case Report
Authors: Ameyaw, Emmanuel
P, F.W.A.C.
Abdul-Mumin, Alhassan
S., F.G.C.P.
Yifieyeh, Abiboye Cheduko..et..al
Keywords: diabetic ketoacidosis
laparotomy
misdiagnosis
typhoid perforation
Issue Date: Jul-2021
Publisher: Journal of Health Science and Medical Research
Citation: Journal of Health Science and Medical Research
Abstract: We report on a 15-year-old Ghanaian boy, who presented to a district hospital with diabetic ketoacidosis (DKA) but was diagnosed wrongly as a small bowel perforation due to typhoid fever. He presented with weakness, poor feeding, vomiting, and severe abdominal pain. General examination revealed a lethargic, drowsy, and severely dehydrated patient. His abdomen was diffusely tender more in the right ileac fossa. Investigations including complete blood count, blood smear for malaria parasites, urinalysis, and abdominal ultrasound yielded unremarkable results. Hemoglobin level was 12.4 grams per decilitre. He was diagnosed as typhoid ileal perforation and laparotomy was done, but the bowels and all other intra-abdominal organs were found to be normal. A blood glucose test was done intraoperatively, and it found very high hyperglycaemia. This led to the suspicion of DKA, which was confirmed through urine dipstick testing for high urine ketones and a high glycated hemoglobin (HbA1C) test result. He was then treated for DKA, which resolved on the second day of admission, but the surgical wound healed after twelve days.
Description: This article is published in Journal of Health Science and Medical Research and also available at doi: 10.31584/jhsmr.2021825
URI: 10.31584/jhsmr.2021825
http://hdl.handle.net/123456789/14691
Appears in Collections:College of Health Sciences

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