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Case Reports
. 2022 Apr 5;10(4):e05680.
doi: 10.1002/ccr3.5680. eCollection 2022 Apr.

Euglycemic diabetic ketoacidosis in pregnancy with COVID-19: A case report and literature review

Sameena Wazir  1 , Saheed Shittu  1 , Khaled Dukhan  2 , Maram Sharief  2 , Stephen Beer  2 , Waseem Malik  3 , Lolwa Alansari  1
Affiliations
Case Reports

Euglycemic diabetic ketoacidosis in pregnancy with COVID-19: A case report and literature review

Sameena Wazir et al. Clin Case Rep. .

Abstract

Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes and is considered a medical emergency. Euglycemic DKA (EKDA) is a variant of DKA with a normal or minimally elevated glucose level <200 mg/dl. The condition can be difficult to diagnose due to the relatively normal glucose levels. Pregnancy, infection, and a low-calorie intake are some of the contributing common etiologies of EDKA. Despite a rapid increase in scientific publications on COVID-19, there are still knowledge gaps regarding the course of COVID-19 in some patient subset. This is especially the case for pregnant women. In this case report, we discuss the course of COVID-19 infection in a pregnant woman with gestational diabetes who developed severe euglycemic diabetic ketoacidosis triggered by various precipitating factors, including starvation, caused by COVID-19 infection and its gastrointestinal effects.

Keywords: COVID‐19 infection; euglycemic diabetic ketoacidosis; pregnancy.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

FIGURE 1
FIGURE 1
Chest X‐ray on admission to the ward
FIGURE 2
FIGURE 2
Chest X‐ray of the patient while in MICU
See this image and copyright information in PMC

References

    1. Castro P, Matos AP, Werner H, Lopes FP, Tonni G, Araujo Júnior E. Covid‐19 and pregnancy: an overview. Rev Bras Ginecol Obstet. 2020;42(07):420‐426. doi:10.1055/s-0040-1713408 - DOI - PMC - PubMed
    1. Palermo NE, Sadhu AR, McDonnell ME. Diabetic ketoacidosis in COVID‐19: unique concerns and considerations. J Clin Endocrinol Metab. 2020;105(8):2819‐2829. doi:10.1210/clinem/dgaa360 - DOI - PMC - PubMed
    1. Rawla P, Vellipuram AR, Bandaru SS, Pradeep RJ. Euglycemic diabetic ketoacidosis: a diagnostic and therapeutic dilemma. Endocrinol Diabetes Metab Case Rep. 2017;2017:17‐0081. doi:10.1530/EDM-17-0081 - DOI - PMC - PubMed
    1. Modi A, Agrawal A, Morgan F. Euglycemic diabetic ketoacidosis: a review. Curr Diabetes Rev. 2017;13(3):315‐321. doi:10.2174/1573399812666160421121307 - DOI - PubMed
    1. Jaber JF, Standley M, Reddy R. Euglycemic diabetic ketoacidosis in pregnancy: a case report and review of current literature. Case Rep Crit Care. 2019;2019:8769714. - PMC - PubMed

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