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January 1943

DIABETIC COMA, ACUTE PANCREATITIS AND BACILLUS WELCHII PERITONITIS

Author Affiliations

CHICAGO
From the Metabolic Clinic, The Children's Memorial Hospital.

Am J Dis Child. 1943;65(1):36-45. doi:10.1001/archpedi.1943.02010130045002
Abstract

At the Children's Memorial Hospital from 1921 to 1942, postmortem examinations have been performed on 10 children who died during diabetic coma, 5 of whom showed complications (summarized in the table). Acute pancreatitis with peritonitis was found in only 1 patient, which represents an incidence of 10 per cent in this series. The complications in the other 4 were bronchitis, pneumonia, gastroenteritis and septicemia with laryngotracheitis. In 5 of the 10 patients the condition was uncomplicated and death was attributed to the severity of the diabetic coma. In a group of 26 cases with postmortem examinations, Root1 found 4 instances of pancreatitis complicating diabetic coma, an incidence of 15 per cent in this group. Similarly, in the 4 cases in his group the pancreatitis was not recognized clinically, and the author stressed the point that the diagnosis of acute pancreatitis should be considered in any case of diabetic coma

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