Published: 8 July 2020
Author(s): Beatriz Fernandes, Filipa Taborda, Maria João Lobão
Section: Internal Medicine Flashcard

A 73-year-old woman with past history of dementia and type 2 diabetes mellitus (DM) was admitted to the emergency department because of drowsiness and hyperglycaemia. The capillary blood glucose was 335 mg/dL and capillary ketone levels were in the normal range. Physical examination was unremarkable. During hospital stay, she developed fever (38.9°C). The laboratory tests revealed leucocytosis (white blood cell count of 16.25 × 109/L) with neutrophilia and a C-reactive protein of 3.61mg/dL. The liver function panel revealed cytolysis and cholestasis.

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