Authors: Aywar Zamri , Rahayu Oktaliani, Herlambang
Introduction: The Hyperosmolar Hyperglycemic State (HHS) is rare case and the most serious acute hyperglycemic emergency in patients with type 2 diabetes, are characterized by severe hyperglycemia, hyperosmolality, and dehydration in the absence of ketoacidosis. Immediately treatment is necessary to reinstate hemodynamic stability, as mortality rates for HHS are exceptionally high and can have multiple complications.
Case Presentation: In this case report, a 63-year-old man with a chiefly complaint from the body became weaker. Patients present with compos mentis, blood pressure 100/70 mmHg, regular pulse rate 110 times per minute with sufficient content and respiration 20 times per minute, and temperature 37,90C. Physical examination shows signs of dehydration. Investigation found white blood cell 12.580 103/mm3, plasma glucose 741 mg / dL, and a negative urine ketone.
Conclusion: Case has been reported, a 63-year-old man with a diagnosis of HHS, the trigger factor for HHS in these patient are the discovery of infections as bronchopneumonia, elderly, and inadequate diabetes treatment. The importance of treatment in this case is because the patient is elderly, treatment must be promptly because where too rapid rehydration may precipitate heart failure but insufficient may fail to reverse acute kidney injury.
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