COVID-19 and emergencies in patients with diabetes: two case reports

Journal of Medical Case Reports

Rajib Kumar Dey¹  Abdullah Isneen Hilmy¹  Abdul Azeez Yoosuf¹  Ali Abdulla Latheef²  Hisham Ahmed Imad³ 

[1] Department of Internal Medicine, Indira Gandhi Memorial Hospital, Male’, Maldives;Department of Internal Medicine, Indira Gandhi Memorial Hospital, Male’, Maldives;Technical Advisory Group, Health Emergency Operation Center, Male’, Maldives;Mahidol-Osaka Center for Infectious Diseases, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand;Department of Viral Infections, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan;

关键词: COVID-19;    Diabetes;    Diabetic ketoacidosis;    Hyperosmolar hyperglycemic state;    Diabetic emergencies;    Pandemic;   

DOI  :  10.1186/s13256-020-02659-4

来源: Springer

【 摘 要 】

BackgroundMaldives reported its first Coronavirus disease 2019 (COVID-19) case on March 7th, 2020. Since then more than 9400 positive cases and 33 deaths have been reported. Recently studies have shown that COVID-19 patients with diabetes had a poor prognosis and a higher mortality rate when compared to the non-diabetic patients. Poorly controlled diabetic patients had a higher incidence of complications like diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) which might have been precipitated by COVID-19. DKA and HHS are potentially lethal but preventable conditions. During this pandemic, although cases of uncontrolled diabetes are frequently reported, there is scarcity in reporting of cases with diabetic emergencies.Case presentationCase 1 was a 53-year old Asian male, admitted on Day 10th of illness with DKA with acute kidney injury, and Moderate COVID-19. Case 2 was a 72-year old Asian male, admitted with mild COVID-19 who developed HHS with acute kidney injury on day 9 of illness. Both patients were managed conservatively in intensive care unit, with intravenous fluids and insulin.ConclusionClinicians should focus on close monitoring of diabetic patients with COVID-19, to prevent diabetic emergencies like DKA and HHS. It is important to aggressively manage these conditions for a favorable outcome.

【 授权许可】

CC BY