Am J Emerg Med . Triple threat: New presentation with diabetic ketoacidosis, COVID-19, and cardiac arrhythmias

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Am J Emerg Med


. 2021 Apr 19;S0735-6757(21)00331-4.
doi: 10.1016/j.ajem.2021.04.045. Online ahead of print.
Triple threat: New presentation with diabetic ketoacidosis, COVID-19, and cardiac arrhythmias


Mary Beth Howard ¹ , Sonali Basu ² , Elizabeth Sherwin ² , Joanna S Cohen ³



Affiliations

• PMID: 33895040
• DOI: 10.1016/j.ajem.2021.04.045

Abstract

Patients with diabetes have increased susceptibility to infection with Severe acute respiratory syndrome-coronavirus 2 and increased morbidity and mortality from Coronavirus disease 2019 (COVID-19) infection. Mortality from COVID-19 is sometimes caused by cardiac arrhythmias. Electrolyte disturbances in patients with diabetic ketoacidosis (DKA) can increase the risk of cardiac arrhythmias. Despite these correlations, little has been reported about the co-incidence of these three conditions: COVID-19, DKA and cardiac arrhythmias. In this case report we describe two children with COVID-19, new-onset DKA and cardiac arrhythmias. These cases emphasize the importance of close cardiac and electrolyte monitoring in patients with COVID-19 infection.

Keywords: Cardiac arrhythmias; Coronavirus disease 2019; Diabetic ketoacidosis; Pediatric emergency medicine.