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Case Report: Pseudohyperglycaemia in a comatose patient after picking cherries

机译:病例报告:樱桃采摘后昏迷患者出现伪性高血糖

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摘要

We report a case of pseudohyperglycaemia on a capillary blood glucose measurement taken from fingers stained with sugar (fructose). A 76-year-old patient with type 1 diabetes received emergency attention at home because of a coma. The first capillary blood glucose measurement collected from a finger revealed a concentration higher than the reference limits, misleading the clinician. After starting symptomatic treatment, a second blood glucose measurement was taken. This measurement, taken at the earlobe, revealed profound hypoglycaemia (0.89 mmol/L), which prompted the administration of appropriate treatment. The elevated initial capillary blood glucose measurement was linked to the presence of fructose on the fingers of the patient from picking cherries just before the patient fainted. After intravenous administration of glucose, the patient regained normal consciousness and had no sequelae despite the severity of the hypoglycaemia and delayed diagnosis. Pseudohyperglycaemia is rare, and delayed diagnosis frequently results in severe sequelae or death.
机译:我们报告了从用糖(果糖)染色的手指上获取的毛细血管血糖测量结果中的一例伪高血糖症。一名76岁的1型糖尿病患者因昏迷而在家中接受了紧急救护。从手指采集的首次毛细血管血糖测量结果显示浓度高于参考限值,从而误导了临床医生。开始对症治疗后,进行第二次血糖测量。在耳垂处进行的这项测量显示出严重的低血糖症(0.89 mmol / L),这促使给予适当的治疗。最初的毛细血管血糖升高与患者晕倒前采摘樱桃后患者手指上果糖的存在有关。静脉内给予葡萄糖后,尽管血糖严重低下并且诊断延迟,患者仍恢复了正常意识并且没有后遗症。伪高血糖症很少见,诊断延误经常导致严重的后遗症或死亡。

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