john gaudet wrote:
> a 19 y/o male was seen by a pediatric neurologist for 6 month history of
> bilateral leg weakness. EMG and NCV showed peripheral neuropathy. He
> came to the ER with worsening weakness and increasing thirst. Blood
> glucose was 750, urine was small ketones and >1000mg% glucose. He was
> not acidotic. Apparantly this adolecent has had long standing DM
> presenting with neuropathy! Previous sinus surgery had shown "fungus in
> his sinuses" (we will contact the ENT tomorrow to get culture results).
> Has anyone ever heard of neuropathy as the presenting complaint? and has
> anyone ever heard of mucor in someone who is doing well and looks good?
> I hope you find this interesting.
> John Gaudet, M.D. (3rd yr ped resident at University of Mississippi)
> The URL for the PED-EM-L Web Page is:
Being part of the diabetic clinic team at my
hospital where we treat 600 diabetic kids, we have
seen 2 or 3 cases such the one you mentionned. This
presentation is known in the medical litterature.
Usually the neuropathy is temporary and disappear a
few weeks after the treatment is initiated.
I will try to send you some references later on.
Louis Geoffroy, m.d.
Clinique du diabete
Hopital Ste-Justine pour enfants
3175 Chemin Cote Ste-Catherine
Montreal, QC, Canada
E-Mail: [log in to unmask]
The URL for the PED-EM-L Web Page is: