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Hyperosmotic non-ketotic diabetic syndrome precipitated by treatment with diuretics

1982; BMJ; Volume: 284; Issue: 6320 Linguagem: Inglês

10.1136/bmj.284.6320.981-b

0959-8138

Virgínia Fonseca, David Phear,

Adipose Tissue and Metabolism

interview after an emergency referral she presented many biological symptoms and signs of depression.For three weeks, attempts were made to treat her with antidepressants as an outpatient, but she was admitted to inpatient psychiatric care after becoming acutely agitated and violent at home.Failure to respond to a combination of tetracyclic antidepressants and phenothiazines lead to the application of electric convulsion treatment four times.She made an excellent response, and was fit for discharge to outpatient care after six weeks as an inpatient.The social factors included profound language difficulties, leading to marked social isolation, aggravated by the lack of extended family support together with profound disappointment at the delivery of a fifth daughter.