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Scrub typhus initially manifested as diabetic ketoacidosis: A case report
Dong Ho Jo1, Tae Yang Yu1, Young Jun Kim1
1Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Republic of Korea.
Idcases
|June 7, 2018
Summary
Acute scrub typhus can trigger diabetic ketoacidosis (DKA) in patients. This case highlights the importance of considering scrub typhus as a potential cause of DKA, particularly in endemic areas.
Area of Science:
- Infectious Diseases
- Endocrinology
- Internal Medicine
Background:
- Diabetic ketoacidosis (DKA) is a serious complication of diabetes.
- Scrub typhus is an infectious disease caused by Orientia tsutsugamushi.
- Infectious agents are known triggers for DKA.
Purpose of the Study:
- To report a case of scrub typhus presenting as DKA.
- To investigate scrub typhus as a precipitating factor for DKA.
- To raise awareness among clinicians regarding this potential association.
Main Methods:
- Case report of a single patient.
- Clinical presentation and diagnostic evaluation for DKA and scrub typhus.
- Review of precipitating factors for DKA.
Main Results:
- The patient presented with diabetic ketoacidosis.
- Acute scrub typhus was identified as the precipitating factor for DKA.
- No other complications of scrub typhus were observed.
Conclusions:
- Acute scrub typhus should be considered a potential precipitating factor for DKA.
- Early diagnosis and treatment of scrub typhus may prevent DKA in susceptible individuals.
- This association is particularly relevant during scrub typhus endemic seasons.
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