Volume 13, Issue 2 (Spring 2022)                   Caspian J Intern Med 2022, 13(2): 436-438 | Back to browse issues page

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Ayub M T, Ayub T, Rasool W, Khan M S, Ishaq M, Mba B. When Nerves Fail: A Cause of Respiratory failure in a Diabetic Patient. Caspian J Intern Med 2022; 13 (2) :436-438
URL: http://caspjim.com/article-1-2173-en.html
When Nerves Fail: A Cause of Respiratory failure in a Diabetic Patient
Muhammad Talha Ayub , Tooba Ayub , Wajeeha Rasool , Muhammad Shoaib Khan * , Muhammad Ishaq , Benjamin Mba
Internal Medicine, Marshfield Clinic Health System, Marshfield, Wisconsin, USA , MShoaibKhanAimc@gmail.com
Abstract:   (2049 Views)
Background: Respiratory failure secondary to bilateral diabetic phrenic neuropathy is an uncommon clinical scenario. It is challenging to treat and often results in the need for long-term respiratory support.
Case Presentation: We report a patient with long standing diabetes mellitus (DM) who presented with respiratory failure requiring mechanical ventilation. He was subsequently found to have reduced phrenic nerve and diaphragm compound action potential amplitude bilaterally on nerve conduction studies.
Conclusion: Diabetic patients with unexplained shortness of breath should raise suspicion for diaphragmatic paresis from phrenic neuropathy.
 
Keywords: Diabetic neuropathy, bilateral diabetic phrenic neuropathy, diaphragmatic paresis.
Full-Text [PDF 55 kb]   (644 Downloads)    
Type of Study: case report | Subject: Neurology
Received: 2020/01/11 | Accepted: 2020/08/23 | Published: 2022/02/13
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