PRECOMATOSIS CONDITION AS A CAUSE OF VIOLENT DEATH IN PATIENTS WITH DIABETES MELLITUS: A RARE CASE REPORT

Abstract

Background. Diabetic coma is a common complication of diabetes mellitus (DM). Usually, the study of carbohydrate status is carried out with non-violent death, however, the death of patients with diabetes can occur with various types of violent death. The purpose of the study is to describe and analyze rare expert cases of the circumstances of violent death in patients with DM. Case presentation: This publication presents two cases of violent death of diabetic patients, the cause of which was a precomatous state - the beginning of the development of diabetic (hyperglycemic) coma. In the first case, the corpse of a 56-year-old man was found in an apartment in a bathtub with water. The man died from drowning in fresh water by aspiration. In the second case, a 62-year-old man lost control of the car and allowed the vehicle to overturn. The man died as a result of a closed craniocerebral injury to the body. In both described cases, the provoking factor was an acute complication of DM in the form of the development of a diabetic coma (precomatosis condition), which was confirmed by the data of a biochemical study of blood, urine, and the vitreous body. Conclusion: Due to the wide spread of DM among the population, one should not forget about the acute complications of this disease (diabetic comas), which can become provoking factors for the onset of violent death. In this regard, it is recommended to conduct a complete laboratory study in patients with DM, even under any circumstances of the case.