Acute Respiratory Distress Syndrome Due to Diabetic Ketoacidosis: A Case Report

Introduction: Acute Respiratory Distress Syndrome (ARDS) due to Diabetic Ketoacidosis (DKA) is a rare but fatal complication. Case Report: A 65-year-old male patient was admitted to the intensive care unit (ICU) with a diagnosis of DKA. The patient, who developed sudden respiratory distress on the fourth day while being followed up in the ICU, had arterial O2 pressure/inspiratory O2 fraction (PaO2/FiO2): 200, bilateral widespread infiltration on chest X-ray and thoracic tomography, and normal echocardiography, was diagnosed with ARDS. Non-invasive mechanical ventilation was applied before and invasive afterwards. Despite supportive treatment, the patient died on the ninth day due to sudden cardiac arrest.Conclusion: In this case report, the importance of early recognition and appropriate treatment of ARDS that may develop due to DKA is emphasized.

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Journal
Journal of Emergency Medicine Case Reports
Published
2026-03-31
DOI
https://doi.org/10.33706/jemcr.1744344
Primary Topic
Diabetes and associated disorders
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article
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article

Acute Respiratory Distress Syndrome Due to Diabetic Ketoacidosis: A Case Report

Ahmet Çağlar, Birsen Ertekin, Fatih İkiz, Ömer Yıldırım
Journal of Emergency Medicine Case Reports
Diabetes and associated disorders
article

Acute Respiratory Distress Syndrome Due to Diabetic Ketoacidosis: A Case Report

Ahmet Çağlar, Birsen Ertekin, Fatih İkiz, Ömer Yıldırım
article en

Abstract

Introduction: Acute Respiratory Distress Syndrome (ARDS) due to Diabetic Ketoacidosis (DKA) is a rare but fatal complication. Case Report: A 65-year-old male patient was admitted to the intensive care unit (ICU) with a diagnosis of DKA. The patient, who developed sudden respiratory distress on the fourth day while being followed up in the ICU, had arterial O2 pressure/inspiratory O2 fraction (PaO2/FiO2): 200, bilateral widespread infiltration on chest X-ray and thoracic tomography, and normal echocardiography, was diagnosed with ARDS. Non-invasive mechanical ventilation was applied before and invasive afterwards. Despite supportive treatment, the patient died on the ninth day due to sudden cardiac arrest.Conclusion: In this case report, the importance of early recognition and appropriate treatment of ARDS that may develop due to DKA is emphasized.

Journal of Emergency Medicine Case ReportsVol. 17(1)
University of Health Science (KH), Emergency University (US), University of Health Sciences (SO)
Good health and well-being
Openalex Percentile: Top 22%
Diabetes and associated disorders
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Acute Respiratory Distress Syndrome Due to Diabetic Ketoacidosis: A Case Report — Ahmet Çağlar, Birsen Ertekin, et al. · Journal of Emergency Medicine Case Reports (2026) | TGRS Research Map | TGRS