Severe Diabetic Ketoacidosis in a Child with Type-1 Diabetes, Asthma, and COVID-19-Reference-Cited by-同舟云学术

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

Published:2020-06-10 Issue:03 Volume:10 Page:232-234
ISSN:2146-4618
Container-title:Journal of Pediatric Intensive Care
language:en
Short-container-title:J Pediatr Intensive Care

Author:

Vasconez Wilson A.¹,Bustamante Escobar Carmen L.¹²,Agarwal Nisha¹³,Solano Juan P.¹³^ORCID,Sanchez Janine E.¹²

Affiliation:

1. Department of Pediatrics, Holtz Children's Hospital/Jackson Memorial Health System, Miller School of Medicine, University of Miami, Miami, United States

2. Department of Pediatrics, Division of Pediatric Endocrinology, Miller School of Medicine, University of Miami, Miami, United States

3. Division of Pediatric Critical Care, Miller School of Medicine, University of Miami, Miami, United States

Abstract

AbstractLittle 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.

Publisher

Georg Thieme Verlag KG

Subject

Critical Care and Intensive Care Medicine,Pediatrics, Perinatology and Child Health

Link

http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1713164.pdf

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