Euglycemic Diabetic Ketoacidosis in a Pregnant Woman With Severe COVID-19: A Case Report.

Autor:	Harman ML; Internal Medicine, Eastern Virginia Medical School, Norfolk, USA., Cuellar EM; Internal Medicine, Eastern Virginia Medical School, Norfolk, USA., Burkhart Denora AR; Internal Medicine, Naval Medical Center Portsmouth, Portsmouth, USA., Pokhriyal M; Internal Medicine, Eastern Virginia Medical School, Norfolk, USA., Mussarat S; Internal Medicine, Eastern Virginia Medical School, Norfolk, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Jan 26; Vol. 14 (1), pp. e21649. Date of Electronic Publication: 2022 Jan 26 (Print Publication: 2022).
DOI:	10.7759/cureus.21649
Abstrakt:	Euglycemic diabetic ketoacidosis (DKA) of pregnancy is an uncommon but serious condition that poses a substantial risk to the fetus. The physiological state of pregnancy itself predisposes women to ketosis and ketoacidosis, which can be further exacerbated by acute stressors such as infection. In this article, we describe a case of a pregnant woman with gestational diabetes and coronavirus disease 2019 (COVID-19) requiring mechanical ventilation who developed euglycemic DKA during her hospital course. Despite treating the patient with standard DKA protocol, fetal heart monitoring was non-reassuring and, hence, a cesarean section was performed. Postoperatively, her DKA resolved; however, she was maintained on supportive ventilation for continued management of her severe COVID-19 infection. In light of the ongoing pandemic, it is essential that healthcare teams closely monitor pregnant women presenting with COVID-19 infection for early signs of euglycemic DKA so that treatment may be initiated early and feto-maternal complications are avoided. Competing Interests: The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government. Dr. Burkhart DeNora is a military member. This work was prepared as part of her official duties. Title 17 U.S.C. 105 provides that “Copyright protection under this title is not available for any work of the United States Government.” Title 17 U.S.C. 101 defines a United States Government work as a work prepared by a military service member or employee of the United States Government as part of that person’s official duty. (Copyright © 2022, Harman et al.)
Databáze:	MEDLINE
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