New Onset Type 1 Diabetes Mellitus in the Setting of COVID-19 Infection in a 5-Month- Old Infant

ABSTRACT

Objectives To report a case of new onset Type 1 Diabetes Mellitus (T1DM) and Diabetic Ketoacidosis (DKA) in a 5-month-old female who was positive for SARS-CoV-2 (COVID-19) infection, which may be a novel precipitant for autoimmunity at a very young age. Methods Case Report Results A 5-month-old term Caucasian female with no significant past medical history presented to the emergency department with Kussmaul respirations and altered mental status. She had one day of presumed viral respiratory symptoms and decreased oral intake. She also had a 5% weight loss (0.31 kg) and polyphagia for one month. Her presenting bloodwork included a blood glucose of >600 mg/dL, pH 6.901, bicarbonate 3.8 (22-28 mmol/L), potassium 5.5 (3.3-5.1 mmol/L), white blood cell count 47.9 (6-17.5 x10