Clinical dilemma of DKA and Covid-19 infection: A case report
| Autor: | Billy Zhang, Michael Choe, Margarita Gianniosis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Pediatrics medicine.medical_specialty Diabetic ketoacidosis Coronavirus disease 2019 (COVID-19) 030106 microbiology Anion gap Infectious and parasitic diseases RC109-216 Hospitalist Asymptomatic Article 03 medical and health sciences Endocrinology 0302 clinical medicine Diabetes mellitus Diabetes Mellitus medicine 030212 general & internal medicine COVID Past medical history business.industry Metabolic acidosis medicine.disease Infectious Diseases Etiology medicine.symptom business |
| Zdroj: | IDCases IDCases, Vol 22, Iss, Pp e00938-(2020) |
| ISSN: | 2214-2509 |
| DOI: | 10.1016/j.idcr.2020.e00938 |
| Popis: | A 52-year-old man with no significant past medical history was found to have diabetic ketoacidosis (DKA) in the setting of COVID-19 infection. He presented with hyperglycemia and an anion gap metabolic acidosis, but without a clear infectious precipitant. Inflammatory markers were subsequently checked, and found to be significantly elevated, raising the suspicion for COVID-19 as a possible etiology despite the lack of typical symptoms - a rapid COVID-19 PCR test checked afterwards was found to be positive. The patient’s hospital course was uncomplicated, but the case highlights the possibility of COVID-19 serving as an infectious precipitant for DKA, even when a patient is otherwise asymptomatic in terms of having COVID-19. |
| Databáze: | OpenAIRE |
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