Severe diabetic ketoacidosis precipitated by COVID-19 in pediatric patients: Two case reports
Jesús Ángel Domínguez Rojas1, Mariela Violeta Tello Pezo2, Jaime Tasayco Muñoz3
1Departamento de Cuidados Intensivos Pediátricos, Hospital Villa El Salvador, Lima, Perú; Departamento de Pediatría, Instituto Nacional de Salud del Niño-San Borja, Lima, Perú. Adress: Fray Angélico 238 Departamento 103, San Borja, Lima, Perú. Email: jesusdominguez24@gmail.com. ORCID: 0000-0001-6141-6622.
Introduction:
The association of COVID-19 with diabetes mellitus is bidirectional. In one direction, diabetes mellitus is associated with an increased risk of severe COVID-19. In the opposite direction, in patients with COVID-19 new-onset diabetes mellitus, severe diabetic ketoacidosis and severe metabolic complications have been described.
Clinical Case:
This report describes two patients with diabetes mellitus who came to our hospital with ketoacidosis resulting from new-onset diabetes mellitus. We describe the clinical course and the management approach during the COVID-19 pandemic.
Conclusion:
COVID-19 is associated with metabolic complications such as severe diabetic ketoacidosis.
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