Severe diabetic ketoacidosis precipitated by COVID-19 in pediatric patients: Two case reports
- PMID: 34081683
- DOI: 10.5867/medwave.2021.03.8176
Severe diabetic ketoacidosis precipitated by COVID-19 in pediatric patients: Two case reports
Abstract
Introduction: The association of COVID-19 with diabetes mellitus is bidirectional. In one direction, diabetes mellitus is associated with an increased risk of severe COVID-19. In the opposite direction, in patients with COVID-19 new-onset diabetes mellitus, severe diabetic ketoacidosis and severe metabolic complications have been described.
Clinical case: This report describes two patients with diabetes mellitus who came to our hospital with ketoacidosis resulting from new-onset diabetes mellitus. We describe the clinical course and the management approach during the COVID-19 pandemic.
Conclusion: COVID-19 is associated with metabolic complications such as severe diabetic ketoacidosis.
Introducción: La relación entre la enfermedad por el coronavirus de 2019 (COVID-19) secundaria a SARS-CoV-2 y la diabetes mellitus es bidireccional. Por un lado, la diabetes mellitus se asocia con un mayor riesgo de COVID-19 grave. Por otro lado, en pacientes con COVID-19 se han observado diabetes mellitus de nueva aparición con presentaciones de cetoacidosis diabética y complicaciones metabólicas graves de dicha presentación.
Casos clínicos: En este informe, describimos a dos pacientes pediátricos con diabetes mellitus que acudieron a nuestro hospital con cetoacidosis diabética, de debut inicial. Describimos la evolución y el manejo clínico y terapéutico durante la pandemia de COVID-19.
Conclusión: La infección por COVID-19 puede precipitar complicaciones como cetoacidosis diabética severa.
Keywords: covid-19; diabetes mellitus; diabetic ketoacidosis; pediatric; case reports.
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