Importance of the study of the vitreous body for the diagnosis of diabetes mellitus and diabetic ketoacidosis post-mortem. About a case

Type 1 Diabetes Mellitus usually begins with ketoacidosis, one of its complications that can lead to death quickly. This condition may go unnoticed, requiring medical and legal autopsy. Among the samples of major interest in the autopsy is the vitreous humor, which is used for detection of glucose l...

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Autores:
Tipo de recurso:
Fecha de publicación:
2016
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/23794
Acceso en línea:
https://repository.urosario.edu.co/handle/10336/23794
Palabra clave:
Diabetes mellitus
Diabetic ketoacidosis
Hyperglycemia
Type 1
Vitreous body
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Description
Summary:Type 1 Diabetes Mellitus usually begins with ketoacidosis, one of its complications that can lead to death quickly. This condition may go unnoticed, requiring medical and legal autopsy. Among the samples of major interest in the autopsy is the vitreous humor, which is used for detection of glucose levels, electrolytes and others. We present the case of a 15-year-old girl with no significant history, who died after presenting with pharyngotonsillitis and the pathological findings did not allow the cause of death to be identified, however, the vitreous humor study revealed elevated glucose levels and Increased blood levels of acetone. We discussed the importance of collecting the vitreous humor for the diagnosis of metabolic diseases. © 2016, Asociacion Andaluza de Medicos Forenses. All rights reserved.