Abstract 135: Reversible myocardial dysfunction in diabetic ketoacidosis due to treatment induced hypophosphatemia: A case report

Intravenous insulin is a standard part of Diabetic Ketoacidosis (DKA) treatment. Electrolyte dysfunction is a part of the disease but sometimes occurs due to treatment leading to hypophosphatemia. In our patient it manifested as severe cardiac systolic dysfunction and hypotension. However, patient showed drastic improvement with Intravenous and oral Phosphate replacement in due course of time in ICU. As hypophosphatemia is often mild and does not require treatment in majority of cases, it should still not be overlooked as a cause of severe cardiac and neurological dysfunction. It often aggravates in non fed state and overlaps with other electrolyte and acid-base derangements leading to confusion but is still easily treatable and rewarding for both patient and physician.