An unusual presentation of diabetic ketoacidosis associated with ascariasis and fungal esophagitis: A case report.
| Autor: | Alduraibi RK; Department of Endocrine and Diabetes, King Fahad Specialist Hospital, Buraydah, Saudi Arabia., Elzaki EM; Department of Endocrine and Diabetes, King Fahad Specialist Hospital, Buraydah, Saudi Arabia., Alammari A; Department of Gastroenterology, King Fahad Specialist Hospital, Buraydah, Saudi Arabia. |
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| Jazyk: | angličtina |
| Zdroj: | Medicine [Medicine (Baltimore)] 2022 Nov 25; Vol. 101 (47), pp. e32015. |
| DOI: | 10.1097/MD.0000000000032015 |
| Abstrakt: | Rationale: Gastrointestinal symptoms are most commonly observed in patients with diabetic ketoacidosis (DKA), which usually resolves completely with therapy. However, gastrointestinal symptoms may persist after DKA is resolved. Patient Concerns: A 22-year-old female was admitted to hospital for epigastric pain and persistent vomiting. The results of laboratory examination showed fungal esophagitis complicated by DKA. Diagnosis: The patient was diagnosed with DKA associated with ascariasis and fungal esophagitis. Outcome: The patient was discharged after treatment. Lessons: In this case, despite the correction of metabolic acidosis, persistent nausea, vomiting and dysphagia can be a sign of esophagitis in patients with type 1 diabetes. Therefore, physicians should be aware of fungal infections associated with type 1 diabetes. Competing Interests: The authors have no funding and conflicts of interest to disclose. (Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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