Severe Diabetic Ketoacidosis in a Child with Type-1 Diabetes, Asthma, and COVID-19

被引：4

作者：

Vasconez, Wilson A. ^{[1
]}

Bustamante Escobar, Carmen L. ^{[1
,3
]}

Agarwal, Nisha ^{[1
,2
]}

Solano, Juan P. ^{[1
,2
]}

Sanchez, Janine E. ^{[1
,3
]}

机构：

[1] Univ Miami, Miller Sch Med, Holtz Childrens Hosp Jackson Mem Hlth Syst, Dept Pediat, Miami, FL 33136 USA

[2] Univ Miami, Miller Sch Med, Div Pediat Crit Care, Miami, FL 33136 USA

[3] Univ Miami, Miller Sch Med, Div Pediat Endocrinol, Dept Pediat, Miami, FL 33136 USA

来源：

JOURNAL OF PEDIATRIC INTENSIVE CARE | 2021年 / 10卷 / 03期

关键词：

COVID-19; diabetic ketoacidosis; type-1; diabetes;

D O I：

10.1055/s-0040-1713164

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Little is known about the association between novel coronavirus disease 2019 (COVID-19) and type-1 diabetes in children. A 16-year-old female patient with history of type-1 diabetes was admitted for life threatening diabetic ketoacidosis (DKA). She recovered from the DKA after 24hours of insulin infusion and rehydration. On day 2, she was diagnosed with COVID-19. The DKA relapsed and required restarting insulin. She developed leukopenia, neutropenia, and high ferritin. Upon recovery, she was discharged for self-quarantine. Severity of DKA in children with COVID-19 is multifactorial. Clinical suspicion of COVID should be heightened in patients who present with unexplainedly severe DKA.

引用

页码：232 / 234

页数：3

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