Insulin poisoning with suicidal intent
We report a 27-year-old paramedical lady with no known comorbidities, who presented with rapid-onset coma with hypoglycemia (plasma glucose at admission was 35 mg/dL). Clinical alertness suspected and confirmed the diagnosis of exogenous insulin administration probably with suicidal intent. During t...
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Wolters Kluwer Medknow Publications
2012-01-01
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doaj-17db1aa84f4540b4bc34382a1ae916532020-11-25T01:27:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002012-01-0116712012210.4103/2230-8210.94254Insulin poisoning with suicidal intentAbhay GundgurthiSandeep KharbM K DuttaR PakhetraM K GargWe report a 27-year-old paramedical lady with no known comorbidities, who presented with rapid-onset coma with hypoglycemia (plasma glucose at admission was 35 mg/dL). Clinical alertness suspected and confirmed the diagnosis of exogenous insulin administration probably with suicidal intent. During the course of her ICU stay, she developed bradycardia and hypotension which required ionotropic support. She remained in coma for 90 hours. A total of 470 g of dextrose was infused until she regained consciousness. No other complications of insulin overdose were observed during her stay in the hospital. Recovery was complete without any residual neurological deficits. Insulin administration should be kept in differential diagnosis when any case presents with coma and hypoglycemia, especially in paramedical personnel.http://www.ijem.in/article.asp?issn=2230-8210;year=2012;volume=16;issue=7;spage=120;epage=122;aulast=GundgurthiHypoglycemic comainsulinsuicide |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Abhay Gundgurthi Sandeep Kharb M K Dutta R Pakhetra M K Garg |
spellingShingle |
Abhay Gundgurthi Sandeep Kharb M K Dutta R Pakhetra M K Garg Insulin poisoning with suicidal intent Indian Journal of Endocrinology and Metabolism Hypoglycemic coma insulin suicide |
author_facet |
Abhay Gundgurthi Sandeep Kharb M K Dutta R Pakhetra M K Garg |
author_sort |
Abhay Gundgurthi |
title |
Insulin poisoning with suicidal intent |
title_short |
Insulin poisoning with suicidal intent |
title_full |
Insulin poisoning with suicidal intent |
title_fullStr |
Insulin poisoning with suicidal intent |
title_full_unstemmed |
Insulin poisoning with suicidal intent |
title_sort |
insulin poisoning with suicidal intent |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Endocrinology and Metabolism |
issn |
2230-8210 2230-9500 |
publishDate |
2012-01-01 |
description |
We report a 27-year-old paramedical lady with no known comorbidities, who presented with rapid-onset coma with hypoglycemia (plasma glucose at admission was 35 mg/dL). Clinical alertness suspected and confirmed the diagnosis of exogenous insulin administration probably with suicidal intent. During the course of her ICU stay, she developed bradycardia and hypotension which required ionotropic support. She remained in coma for 90 hours. A total of 470 g of dextrose was infused until she regained consciousness. No other complications of insulin overdose were observed during her stay in the hospital. Recovery was complete without any residual neurological deficits. Insulin administration should be kept in differential diagnosis when any case presents with coma and hypoglycemia, especially in paramedical personnel. |
topic |
Hypoglycemic coma insulin suicide |
url |
http://www.ijem.in/article.asp?issn=2230-8210;year=2012;volume=16;issue=7;spage=120;epage=122;aulast=Gundgurthi |
work_keys_str_mv |
AT abhaygundgurthi insulinpoisoningwithsuicidalintent AT sandeepkharb insulinpoisoningwithsuicidalintent AT mkdutta insulinpoisoningwithsuicidalintent AT rpakhetra insulinpoisoningwithsuicidalintent AT mkgarg insulinpoisoningwithsuicidalintent |
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