Acute psychosis following diabetic ketoacidosis in an 11-year-old, management challenges in a resource-limited setting

ABSTRACT

Diabetes mellitus [DM] is the most common endocrine disorder in children and type 1 DM is the most common; however increasing incidence of type 2 DM is being reported, especially in western societies. Occurrence of psychiatric disorders has been associated with type 2 DM but is rare in those with type 1 DM; therefore the case of an 11-year-old girl who was treated for diabetic ketoacidosis, but suddenly developed acute psychotic symptoms shortly after regaining consciousness is reported. Atypical antipsychotic medications were avoided in this case for concerns of their risk of causing abnormal glucose metabolism