TY - JOUR JF - babol-caspjim JO - Caspian J Intern Med VL - 13 IS - 2 PY - 2022 Y1 - 2022/2/01 TI - When Nerves Fail: A Cause of Respiratory failure in a Diabetic Patient TT - N2 - 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. SP - 436 EP - 438 AU - Ayub, Muhammad Talha AU - Ayub, Tooba AU - Rasool, Wajeeha AU - Khan, Muhammad Shoaib AU - Ishaq, Muhammad AU - Mba, Benjamin AD - Internal Medicine, Marshfield Clinic Health System, Marshfield, Wisconsin, USA KW - Diabetic neuropathy KW - bilateral diabetic phrenic neuropathy KW - diaphragmatic paresis. UR - http://caspjim.com/article-1-2173-en.html DO - 10.22088/cjim.13.2.436 ER -