Hyperglycemia and Hyperosmolarity in an Eighteen-Month-Old Child

Abstract

DURING a review of the records for juvenile diabetes mellitus at the Hospital for Sick Children, a case was discovered in which severe hyperglycemia was accompanied by an altered level of consciousness but not by ketosis. A recent review¹ of the syndrome of hyperglycemic hyperosmolar coma in adults indicated that no case in a person under twenty-seven years of age had ever been reported. The child described below was seen in 1954, three years before the initial report of the syndrome in the literature.² Case ReportAn 18-month-old boy was admitted to the emergency department acutely and seriously ill. He . . .