著者

Takeshi Kawashita Mikio Nakajima Richard H. Kaszynski Masamitsu Shirokawa Tomotsugu Nakano Koji Ochiai Yoshitaka Inoue Hideaki Goto

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

pp.1041-18, (Released:2018-09-12)

参考文献数

12

被引用文献数

1

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A 28-year-old man with type 1 diabetes mellitus was admitted for shock and coma due to diabetic ketoacidosis. Despite aggressive treatment and management of the patient's underlying clinical issues, the patient remained in a comatose state. Further investigations revealed an excess consumption of psychotropic agents; however, there was no evidence of an insulin overdose. Physicians should be aware that, in patients who are highly dependent upon insulin, an overdose of psychotropic agents can lead to hypoxic-ischemic brain injury.