tetano
Editor, Senior Moderator
Cureus
. 2020 Aug 25;12(8):e10031.
doi: 10.7759/cureus.10031.
Diabetic Ketoacidosis Precipitated by COVID-19 in Patients Without Respiratory Symptoms: Case Reports
Jose L Meza[SUP] 1 [/SUP], Abel Triana[SUP] 1 [/SUP], Ivan De Avila[SUP] 1 [/SUP], Gaspar Del Rio-Pertuz[SUP] 2 [/SUP], Diego Viasus[SUP] 3 [/SUP]
Affiliations
Abstract
Worse outcomes of coronavirus disease 2019 (COVID-19) have been documented in older patients with comorbidities, especially in those with diabetes mellitus (DM). However, the clinical picture and risk factors of COVID-19 in DM is still emerging. Here, we report four cases of severe COVID-19 patients with acute diabetic ketoacidosis (DKA) without respiratory symptoms, with viral and bacterial coinfection, and poor clinical outcomes. Higher monitoring of patients with DM and COVID-19 is advised, as well as rapid and accurate diagnostic tests and treatment.
Keywords: coinfection; covid-19; diabetes; ketoacidosis; mortality; sars-cov-2.
. 2020 Aug 25;12(8):e10031.
doi: 10.7759/cureus.10031.
Diabetic Ketoacidosis Precipitated by COVID-19 in Patients Without Respiratory Symptoms: Case Reports
Jose L Meza[SUP] 1 [/SUP], Abel Triana[SUP] 1 [/SUP], Ivan De Avila[SUP] 1 [/SUP], Gaspar Del Rio-Pertuz[SUP] 2 [/SUP], Diego Viasus[SUP] 3 [/SUP]
Affiliations
- PMID: 32983724
- PMCID: PMC7515799
- DOI: 10.7759/cureus.10031
Abstract
Worse outcomes of coronavirus disease 2019 (COVID-19) have been documented in older patients with comorbidities, especially in those with diabetes mellitus (DM). However, the clinical picture and risk factors of COVID-19 in DM is still emerging. Here, we report four cases of severe COVID-19 patients with acute diabetic ketoacidosis (DKA) without respiratory symptoms, with viral and bacterial coinfection, and poor clinical outcomes. Higher monitoring of patients with DM and COVID-19 is advised, as well as rapid and accurate diagnostic tests and treatment.
Keywords: coinfection; covid-19; diabetes; ketoacidosis; mortality; sars-cov-2.