A 19-Year-Old Man With Life-Threatening Obesity

Shahida Badsha, MBBS, FCPS, MCPS

Disclosures

April 09, 2018

After elevated blood glucose levels were found, the patient was referred to an endocrinologist for treatment of type 2 diabetes. He was prescribed an oral hypoglycemic, metformin, with recommended close monitoring of his blood sugar to prevent hypoglycemia.

Three weeks later, the patient developed respiratory distress and oliguria. He was admitted to a hospital and diagnosed with pulmonary edema. Oxygen support and diuretic treatment were initiated. Despite these interventions, his respiratory distress persisted. On day 4 of admission, the patient had a cardiopulmonary arrest and later died at age 19 years, 3 months.

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