Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Alcohol-related hypoglycemia in rural Uganda: socioeconomic and physiologic contrasts | Hammerstedt et al. International Journal of Emergency Medicine 2011 4 5 http content 4 1 5 o International Journal of Emergency Medicine a SpringerOpen Journal BRIEF RESEARCH REPORT Open Access Alcohol-related hypoglycemia in rural Uganda socioeconomic and physiologic contrasts Heather Hammerstedt1 5 Stacey L Chamberlain2 5 Sara W Nelson3 5 Mark C Bisanzo4 5 Abstract Hypoglycemia is a rare but important complication seen in patients who present with alcohol intoxication. In a study by Marks and Teale less than one percent of people with alcohol intoxication who presented to an American emergency department were hypoglycemic 1 . It is even more rare to see an intoxicated patient who had been eating appropriately prior to or during the intoxication present in a hypoglycemic coma. However our analysis of the first 500 patients seen in a newly opened five-bed Emergency Department ED at Nyakibale Karoli Lwanga Hospital in rural southwestern Uganda revealed multiple intoxicated patients who presented in hypoglycemic coma within hours of eating a full meal. Three of these cases are summarized and discussed below. Case One A 32-year-old man was found confused and moaning in bed by family at 5 . and brought in by family at 9 a. m. Family members stated he had eaten lunch and dinner with them the previous day then went out drinking alcohol with friends and came home at 3 . Past medical and surgical histories were unremarkable and he takes no medications and has no allergies. On examination his vital signs were stable blood pressure 110 70 mmHg heart rate 68 bpm respiratory rate 12 bpm oxygen saturation 93 room air temperature 37 C and the patient was unresponsive. He responded to sternal rub with moaning and moved all his extremities to painful stimuli. He smelled of sweet alcohol and did not answer questions. His eyes were open pupils were reactive and his head was normoce-phalic and atraumatic. He had no meningismus and no clonus. Cardiopulmonary and .
