Failure to Diagnose Diabetic Ketoacidosis in Tanzania

Rwiza, H. T.; Swai, A. B. M.; McLarty, D.G.

doi:10.1111/j.1464-5491.1986.tb00738.x

Cited by 50 publications

(43 citation statements)

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“…DKA could easily be overlooked as cerebral malaria or meningitis in the busy emergency reception of most hospitals in Africa. 26 This could well underestimate the true incidence of type I childhood diabetes in Sudan and may offer an explanation for the rarity of diagnosed cases of type I diabetes before the age of five years.…”

Section: Discussionmentioning

confidence: 99%

High Incidence of Type I Diabetes Mellitus in Sudanese Children, 1991-1995

Elamin

Ghalib²,

Eltayeb³

et al. 1997

Ann Saudi Med

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Section: Discussionmentioning

confidence: 99%

High Incidence of Type I Diabetes Mellitus in Sudanese Children, 1991-1995

Elamin

Ghalib²,

Eltayeb³

et al. 1997

Ann Saudi Med

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“…Therefore, misdiagnosis of DKA as infections is possible and probably more common in African than has been reported [1,8,9]. Rwiza et al [8] reported misdiagnosis in Tanzania. Wrong diagnosis made instead of DKA included malaria, urinary tract infection, diarrhoea and pneumonia [8].…”

Section: Introductionmentioning

confidence: 94%

“…Such a patient would develop further complications and may even end up in mortality [4, 8,11]. Dextrose administration is part of supportive treatment for severe infections such as pneumonia [11] which can rather be detrimental to a patient with DKA.…”

Section: Discussionmentioning

confidence: 99%

“…These clinical features also mimic acute infections such as cerebral malaria, meningitis and pneumonia [6,7]. Therefore, misdiagnosis of DKA as infections is possible and probably more common in African than has been reported [1,8,9]. Rwiza et al [8] reported misdiagnosis in Tanzania.…”

Section: Introductionmentioning

confidence: 99%

“…Rwiza et al [8] reported misdiagnosis in Tanzania. Wrong diagnosis made instead of DKA included malaria, urinary tract infection, diarrhoea and pneumonia [8]. In Ghana, Kratzer [1] found out that all grades of health practitioners made wrong diagnosis such as malaria and typhoid fever instead of diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Misdiagnosis of Diabetic Ketoacidosis as Pneumonia in a Ghanaian Teenager: A Case Report

Ameyaw¹,

Ameyaw²

2017

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Organization of Care: Problems in Developing Countries—Sub‐Saharan Africa

Mbanya

2003

International Textbook of Diabetes Mellitus

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Diabetes mellitus is now a major health problem in Africa, and patient numbers will increase with the tremendous gain in life expectancy. Africa had a population of nearly 600 million inhabitants in 1998, with an estimated diabetic population of 550 000 type 1 and 5 million type 2 diabetic patients. With the current trends, it is estimated that the African diabetic population would more than double by the year 2000 and quadruple by the year 2010. Yet the health care system of most countries in the region is geared mostly toward communicable diseases. Diabetes care is integrated in the overall national health care structures, with primary care bearing the main responsibility. Diabetic patients seek care at the primary, district, or tertiary health care systems where there are geographical disparities in the availability, organization, and quality of diabetes care. Delivery of diabetes care is fraught with problems including organizational, medical, socioeconomic, cultural, and geographic factors. Governments, diabetes associations, and other bodies comprising people affected with diabetes, physicians, nurses, nutritionists, and educators should cooperate with one another in improving diabetes care in the region.

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Failure to Diagnose Diabetic Ketoacidosis in Tanzania

Cited by 50 publications

References 1 publication

High Incidence of Type I Diabetes Mellitus in Sudanese Children, 1991-1995

High Incidence of Type I Diabetes Mellitus in Sudanese Children, 1991-1995

Misdiagnosis of Diabetic Ketoacidosis as Pneumonia in a Ghanaian Teenager: A Case Report

Organization of Care: Problems in Developing Countries—Sub‐Saharan Africa

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