Publication: Clinical Dilemma of Diabetic Ketoacidosis and COVID-19 Infection
Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
The COVID-19 Pneumonia with diabetic ketoacidosis is a dreadful health condition.
Diabetic ketoacidosis is one of the severe metabolic complications and it can
be precipitated by infection. We presented a case of 48 years female with no
known comorbidities who presented with COVID-19 symptoms and with Diabetic
Ketoacidosis. The case presented with elevated inflammatory markers, high anion
gap metabolic acidosis with type I respiratory failure. During admission, the oxygen
saturation had marked drop, later her improvement was steady followed by gradual
tapering of the oxygenation. Marked improvement was noticed in the subsequent
follow-up. COVID-19 infection can be precipitated by preexisting diabetes or newly
diagnosed diabetes and the severity of COVID-19 infection is more pronounced in
patients with diabetes mellitus, thus should be managed timely and accordingly.
The scarce studies among the COVID-19 cases with diabetic ketoacidosis reflect the
need for further studies for the availability of a wider range of information.
KEY WORDS
Diabetic ketoacidosis, Metabolic complications, Severe COVID-19 pneumonia
Description
Sapkota P,1 Chalise S,1 Shrestha P2
1Department of Internal Medicine
2Department of Public Health and Community Programs
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
Keywords
Diabetic ketoacidosis, Metabolic complications, Severe COVID-19 pneumonia