{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:24:14Z","timestamp":1773285854598,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2006,4,20]],"date-time":"2006-04-20T00:00:00Z","timestamp":1145491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetic Medicine"],"published-print":{"date-parts":[[2006,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We present a case of a 29\u2010year\u2010old woman with known Type 1 diabetes who presented with diabetic ketoacidosis (DKA). Despite appropriate treatment and initial improvement, 12\u00a0h after initiation of treatment she deteriorated rapidly and developed pulmonary oedema, cerebral oedema and multiple infarctions of the brain and cervical spinal cord. This resulted in spastic quadraparesis and she has remained wheelchair\u2010bound. These complications of DKA are rare and unpredictable. In this case report we discuss the proposed aetiologies of these complications with reference to our case report and highlight the importance of vigilance for early signs of these complications during the treatment of all patients with DKA.<\/jats:p>","DOI":"10.1111\/j.1464-5491.2006.01822.x","type":"journal-article","created":{"date-parts":[[2006,6,8]],"date-time":"2006-06-08T03:32:00Z","timestamp":1149737520000},"page":"571-573","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Simultaneous pulmonary and cerebral oedema, and multiple CNS infarctions as complications of diabetic ketoacidosis: a case report"],"prefix":"10.1111","volume":"23","author":[{"given":"A. N.","family":"Dixon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. B.","family":"Jude","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. K.","family":"Banerjee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. C.","family":"Bain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,4,20]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.18.9.1288"},{"key":"e_1_2_6_3_2","first-page":"801","article-title":"The adult respiratory distress syndrome complicating diabetic ketoacidosis","volume":"7","author":"Carroll P","year":"1986","journal-title":"Cardiovascular Rev Reports"},{"key":"e_1_2_6_4_2","first-page":"1922","article-title":"Non\u2010cardiogenic pulmonary edema in a patient with diabetic ketoacidosis","volume":"20","author":"Jain SJ","year":"1977","journal-title":"Diabet Med"},{"key":"e_1_2_6_5_2","first-page":"46","volume-title":"Diabetes: Emergency and Hospital Management","author":"Page SR","year":"1999"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1056-8727(98)00012-9"},{"key":"e_1_2_6_7_2","first-page":"78","article-title":"Transient hypoxemia in diabetic ketoacidosis","volume":"20","author":"Goldstein DA","year":"1976","journal-title":"Kidney Int"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.13.1.22"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00263548"},{"key":"e_1_2_6_10_2","first-page":"733","article-title":"Cranial CT in children and adolescents with diabetic ketoacidosis","volume":"9","author":"Hoffman WH","year":"1988","journal-title":"Am J Neurol Radiol"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196703232761204"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200101253440404"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196709212771201"},{"key":"e_1_2_6_14_2","first-page":"220","article-title":"Increased cerebrospinal fluid pressure and during treatment of diabetic ketoacidosis","volume":"1","author":"Clements RS","year":"1971","journal-title":"Lancet"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.2337\/diab.17.2.108"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0026-0495(77)90103-2"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/1056-8727(94)00058-1"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(74)91261-6"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1464-5491.2006.01822.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1464-5491.2006.01822.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T17:07:46Z","timestamp":1696957666000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1464-5491.2006.01822.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,4,20]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2006,5]]}},"alternative-id":["10.1111\/j.1464-5491.2006.01822.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1464-5491.2006.01822.x","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,4,20]]},"assertion":[{"value":"2006-04-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}