Diagnostic difficulties encountered in milky serum of a 4 year old baby with severe diabetic ketoacidosis and hypertriglyceridemia causing acute pancreatitis- A case report

  • Neeru Gupta sri balaji action medical institute Paschim Vihar Delhi-110063
  • Dinesh Kumar Yadav sri balaji action medical institute Paschim Vihar Delhi-110063
  • Chhaya Gupta sri balaji action medical institute Paschim Vihar Delhi-110063
  • Shephali Sharma sri balaji action medical institute Paschim Vihar Delhi-110063
Keywords: Diabetes mellitus type 1, hypertriglyceridaemia, diabetic ketoacidosis, acute pancreatitis, lipemic sample.

Abstract

Milky/ frothy serum samples can be received sporadically in cases of severe hypertriglyceridemia which can pose diagnostic challenge for the routine processing and result generation. We report difficulties encountered in processing of such sample in undiagnosed and comatosed 4 year old girl of new onset type 1 diabetes mellitus, severe diabetic ketoacidosis and hypertriglyceridemia induced acute pancreatitis. She had markedly elevated serum triglycerides [13,846 mg/dL] with high cholesterol [1267 mg/dl], serum amylase [150 U/L], serum lipase [230 U/L], pH 6.85 and bicarbonate 6 mEq/L. Arterial blood gas analysis and urine chemistry were performed for the initial diagnosis. After establishing the diagnosis she was managed with insulin therapy and conservative management. DOI: 10.21276/awch.2017.1233 

Author Biographies

Neeru Gupta, sri balaji action medical institute Paschim Vihar Delhi-110063
PATHOLOGY DEPARTMENTJUNIOR CONSULTANT
Dinesh Kumar Yadav, sri balaji action medical institute Paschim Vihar Delhi-110063
SR. Consultant and Head ,Department of biochemistry
Chhaya Gupta, sri balaji action medical institute Paschim Vihar Delhi-110063
PATHOLOGY DEPARTMENT CONSULTANT
Shephali Sharma, sri balaji action medical institute Paschim Vihar Delhi-110063
PATHOLOGY DEPARTMENTSR. RESIDENT

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Published
2017-01-25
Section
Case Reports