Splenic abscess presenting as diabetic ketoacidosis: A rare cause of DKA in Type 2 DM patient

Abstract

Diabetic ketoacidosis is a relatively common and potentially life-threatening complication of insulin deficiency. The prevalence of DKA is relatively common in patients with Type 1 diabetes mellitus in comparison with Type 2 diabetes mellitus. The prevalence of DKA is seen in 0–128 cases per thousand population in Type 1 diabetes mellitus while Type 2 DM has a prevalence of 18% of the total population. Abdominal pain is the most common and specific symptom of DKA which is reported at around 46%. The two most common infections precipitating DKA are community-acquired pneumonia and UTI which correspond to around 30–50% of the total burden. Meanwhile, any infection or sepsis can precipitate DKA, the splenic abscess is rare, and there have been reported only a few cases. In patients with poor glycemic control, absence of urinary tract infection, and community-acquired pneumonia, deep organ abscesses should be screened for. Here, we present a case report of patient with non-resolving DKA who presented with splenic abscess.