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

Abstract

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 24 hours 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.

Keywords

COVID-19 - diabetic ketoacidosis - type-1 diabetes

Publikationsverlauf

Eingereicht: 25. April 2020

Angenommen: 11. Mai 2020

Artikel online veröffentlicht:
10. Juni 2020

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