Delayed Diagnosis of Severe Hypoglycemia in a Septic Patient With Chronic Renal Failure

被引:0
作者
Ten Berge, Daan [1 ]
Manning, Fokko [2 ]
Silderhuis, Vera [2 ]
Deijns, Saskia [3 ]
Pouwels, Marie -Jose [3 ]
Krabbe, Hans [1 ,4 ]
Beishuizen, Albertus [2 ]
机构
[1] Med Spectrum Twente, Dept Clin Chem & Lab Med, Enschede, Netherlands
[2] Med Spectrum Twente, Intens Care Ctr, Enschede, Netherlands
[3] Med Spectrum Twente, Dept Internal Med, Enschede, Netherlands
[4] Medlon BV, Dept Clin Chem & Lab Med, Enschede, Netherlands
关键词
vitamin c; blood glucose meters; point-of-care; interference; hypoglycemia; glucose; INTRAVENOUS VITAMIN-C; THIAMINE; SHOCK;
D O I
10.7759/cureus.28615
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
High-dose vitamin C therapy has gained increased interest as an adjunctive treatment of septic shock, although convincing evidence is still lacking. High blood levels of vitamin C may interfere with several point-of-care blood glucose meters. We describe the case of a 67-year-old septic patient known with chronic renal failure who developed truly severe hypoglycemia, which was masked by spuriously high glucose values measured on a capillary blood glucose meter. This initially led to the treatment of spurious hyperglycemia with high-dose insulin and a delayed correct diagnosis and treatment, rendering substantial risk for the patient. Awareness of this dangerous interference is warranted.
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页数:3
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