Diabetic ketoacidosis with its associated complications in a young primigravida in a tertiary health institution in south- south, Nigeria

Callistus Obinna Elegbua 1, *, Harold Yiralee Doneh 1, Bernard B. Akpu 2, Angela Adaku Elegbua 3, Promise Onyeka Ubanatu 4, Oiseremen Samuel Ovbiagele 1, Kester Obiora Ezewuzie 1 and Jerome Tunde Herbert 1

1 Department of Obstetrics and Gynecology, Nigerian Navy Reference Hospital, Calabar, Cross River State, Nigeria.
2 Cardiology Unit, Department of Internal Medicine, University of Calabar Teaching Hospital, Calabar, Cross State, Nigeria.
3 Department of Public Health, David Umahi Federal University Teaching Hospital, Uburu, Ebonyi State.
4 Department of Anesthesiology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
 
Case Study
World Journal of Biology Pharmacy and Health Sciences, 2024, 19(01), 306–310.
Article DOI: 10.30574/wjbphs.2024.19.1.0447
Publication history: 
Received on 09 June 2024; revised on 19 July 2024; accepted on 22 July 2024
 
Abstract: 
Diabetic ketoacidosis is a potentially life-threatening medical emergency. It becomes a catastrophe when it occurs in pregnancy due to maternal and fetal morbidity and mortality associated with it. This case report presents the challenges with respect to diagnosis and management approach in diabetic ketoacidosis, as seen in a case of a 28-year-old primigravida, with diabetic ketoacidosis in pregnancy at Nigerian Navy Reference Hospital, Calabar. She presented with a history of anorexia, protracted vomiting and generalized body weakness. Emphasis would be laid on the adverse outcomes associated with gestational diabetes mellitus.
 
Keywords: 
Diabetic ketoacidosis; Diabetes Mellitus; Primigravida; Complications
 
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