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COVID-19 Presenting With Diabetic Ketoacidosis: A Case Series.
Gorthi, Ramya S; Kamel, Ghassan; Dhindsa, Sandeep; Nayak, Ravi P.
  • Gorthi RS; Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Saint Louis University School of Medicine, Saint Louis, Missouri.
  • Kamel G; Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Saint Louis University School of Medicine, Saint Louis, Missouri.
  • Dhindsa S; Division of Endocrinology, Diabetes and Metabolism, Saint Louis University School of Medicine, Saint Louis, Missouri.
  • Nayak RP; Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Saint Louis University School of Medicine, Saint Louis, Missouri.
AACE Clin Case Rep ; 7(1): 6-9, 2021.
Article in English | MEDLINE | ID: covidwho-1056116
ABSTRACT

OBJECTIVE:

Diabetes mellitus has been recognized as one of the comorbidities that predict the severity of illness in patients infected with COVID-19. The characteristics of patients presenting with diabetic ketoacidosis (DKA) and COVID-19 infection have not been described.

METHODS:

We describe 5 patients with DKA and concomitant COVID-19 admitted to the intensive care unit of an academic medical center. Three patients had type 1 diabetes mellitus, and 2 patients had type 2 diabetes mellitus.

RESULTS:

While DKA with an infectious etiology is a common presentation, we observed that the patients with DKA precipitated by COVID-19 presented with atypical symptoms. COVID-19 infection was revealed during search for an etiology of DKA.

CONCLUSION:

It is prudent to have a low threshold to screen for COVID-19 infection in patients with DKA.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Etiology study / Prognostic study Language: English Journal: AACE Clin Case Rep Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Etiology study / Prognostic study Language: English Journal: AACE Clin Case Rep Year: 2021 Document Type: Article