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- Title
Pediatric diabetic ketoacidosis as type 1 diabetes debut with concurrent SARS-CoV-2 infection: A case report.
- Authors
Valenzuela-Vallejo, Laura; López-Ramírez, Sofía A; Morales-Burton, Verónica; Aguilera-Martínez, Sara; Álvarez-Olmos, Martha I; Durán-Ventura, Paola
- Abstract
Diabetic ketoacidosis is a life-threatening complication associated with type 1 diabetes (T1D). Recent evidence suggests that SARS-CoV-2 could trigger diabetic ketoacidosis in type 1 diabetes susceptibility and previous insulitis; however, the data on SARS-CoV-2-infected patients with diabetic ketoacidosis as their type 1 diabetes are still limited. We report a 13-year-old Latinamerican male with symptoms and laboratory tests diagnostic of diabetic ketoacidosis and positive SARS-CoV-2 reverse transcription polymerase chain reaction, who required mild COVID-19 care management, fluid resuscitation, and insulin infusion at a regular dose, without further complications after the acute infection. Clinical/biochemical improvement allowed outpatient endocrinology follow-up with insulin therapy and continuous glucose monitoring. To our knowledge, we report the first case of diabetic ketoacidosis as the debut of type 1 diabetes in a Colombian pediatric patient with concurrent SARS-CoV-2 infection. Therefore, this report aims to contribute to the global research on SARS-CoV-2 and diabetic ketoacidosis and discuss the approach to these concomitant pathologies.
- Subjects
DIABETIC acidosis; TYPE 1 diabetes; REVERSE transcriptase polymerase chain reaction; HEMORRHAGIC shock; SARS-CoV-2
- Publication
SAGE Open Medical Case Reports, 2022, Vol 10, p1
- ISSN
2050-313X
- Publication type
Article
- DOI
10.1177/2050313X221097263