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Diabetic ketoacidosis following mumps
Manish Agrawal1, S P Goel, Ashish Prakash
1Department of Pediatrics, Subharti Medical College, Meerut, India.
Indian Pediatrics
|December 21, 2012
Summary
Mumps virus infection can cause diabetic ketoacidosis in adolescents. This case highlights mumps as a potential trigger for both parotitis and pancreatitis, leading to diabetic ketoacidosis.
Area of Science:
- Pediatrics
- Infectious Diseases
- Endocrinology
Background:
- Diabetic ketoacidosis (DKA) is a serious complication of diabetes.
- Mumps virus is a known cause of parotitis and pancreatitis.
Observation:
- A 13-year-old girl presented with DKA, parotitis, and pancreatitis.
- Clinical signs included fever, drooling, dysphagia, parotid swelling, abdominal pain, and vomiting.
- Laboratory tests revealed high serum amylase and positive mumps IgM titer.
Findings:
- The findings suggest mumps virus as the causative agent for the observed clinical presentation.
- Concomitant involvement of the pancreas by the mumps virus is likely.
Implications:
- This case underscores the importance of considering mumps virus in the differential diagnosis of DKA with parotitis and pancreatitis.
- Early identification and management of mumps-related complications are crucial in pediatric patients.
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