Search

Your search keyword '"Mikhailidis D"' showing total 17 results
Start Over Author "Mikhailidis D" Journal international journal of clinical practice
17 results on '"Mikhailidis D"'

17. Elevated serum creatine kinase activity in a patient with acute pancreatitis.

Author

Randeva HS, Bolodeoku J, Mikhailidis DP, Winder AD, and Press M

Subjects
Acute Disease, Humans, Hyperglycemic Hyperosmolar Nonketotic Coma diagnosis, Hyperglycemic Hyperosmolar Nonketotic Coma etiology, Male, Middle Aged, Pancreatitis complications, Creatine Kinase blood, Pancreatitis enzymology
Abstract

A 62-year-old man presented with a five-day history of a 'flu-like' illness, epigastric pain and a state of increasing confusion. His serum values for amylase and glucose were grossly elevated, as was the creatine kinase (CK) activity, being 23 times above the upper limit of normal. CK-MB was less than 5% of his total CK activity. There was no past history of diabetes or recent history of intramuscular injections or injury. A diagnosis of acute pancreatitis complicated by hyperosmolar non-ketotic (HONK) diabetic pre-coma was made. The patient was treated with intravenous fluids, insulin and subcutaneous heparin. Normal values for serum amylase and CK activity were recorded with convalescence. This case indicates a possible association of a rise in total CK activity with acute pancreatitis complicated by HONK diabetic pre-coma. This observation was made in the absence of clinically evident muscle pathology.

Published
1999

Catalog

Books, media, physical & digital resources
See catalog results