Severe diabetic ketoacidosis precipitated by COVID-19 in pediatric patients: Two case reports
Jesús Ángel Domínguez Rojas,
Mariela Violeta Tello Pezo,
Jaime Tasayco Muñoz,
Álvaro Coronado Muñoz
Affiliations
Jesús Ángel Domínguez Rojas
Departamento de Cuidados Intensivos Pediátricos, Hospital Villa El Salvador, Lima, Perú; Departamento de Pediatría, Instituto Nacional de Salud del Niño-San Borja, Lima, Perú
Mariela Violeta Tello Pezo
Departamento de Pediatría, Instituto Nacional de Salud del Niño-San Borja, Lima, Perú; Facultad de Medicina, Universidad Nacional Federico Villarreal, Lima, Perú
Jaime Tasayco Muñoz
Departamento de Cuidados Intensivos Pediátricos, Hospital Villa El Salvador, Lima, Perú; Departamento de Pediatría, Centro de Ciencias de la Salud de la Universidad de Texas en Houston, Estados Unidos
Álvaro Coronado Muñoz
Departamento de Pediatría, Centro de Ciencias de la Salud de la Universidad de Texas en Houston, Estados Unidos
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.
