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A Case of Acute-Onset Type 1 Diabetes Mellitus with Diabetic Ketoacidosis Triggered by COVID-19 by Mariko Zenri; Mariko Higa; Kayoko Ikehara; Takamasa Ichijo; Takahisa Hirose is a Medicine article available to read on EtoBox.

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Patient: Female, 52-year-old Final Diagnosis: COVID 19 infection • type 1 diabetes mellitus Symptoms: Disturbance of consciousness Clinical Procedure: Emergency treatment Specialty: Endocrinology and Metabolic • Infectious Diseases ## Objective: **Unusual clinical course** ## Background: It is well known that diabetes mellitus contributes to COVID-19 severity. Recently, there have been reports of an increase in the number of children with type 1 diabetes after the COVID-19 pandemic. ## Case Report: A 52-year-old woman presented to the Emergency Department with disturbance of consciousness, accompanied by a 1-day history of thirst, a fever of 38°C, and breathlessness. She had a positive coronavirus antigen test. Her initial vital signs assessment showed a heart rate of 120 beats per minute, blood pressure 90/50 mmHg, temperature 37.3°C, and respiratory rate 30 breaths/minute with an oxygen saturation of 100% with 10 L oxygen inhalation. Her initial laboratory test results showed a blood glucose level of 1507 mg/dl, HbA1c of 10.1%, ketone 2+, and blood gas pH 7.113. The patient was diagnosed with diabetic ketoacidosis (DKA). There were mild inflammatory findings with blood CRP 0.14 m

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Author

Mariko Zenri; Mariko Higa; Kayoko Ikehara; Takamasa Ichijo; Takahisa Hirose

Publisher

International Scientific Information, Inc.

Published

2023

Language

EN

Field

Medicine (Health Sciences)