Journal of Occupational Health and Epidemiology
J Occup Health Epidemiol
Medical Sciences
http://johe.rums.ac.ir
224
admin
2251-8096
2252-0902
10.61186/johe
0
en
jalali
1399
10
1
gregorian
2021
1
1
10
1
online
1
fulltext
en
Diabetic Ketoacidosis and COVID-19: Two Case Reports
Epidemiology
Case Report
<p style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Arial;"><strong>Background:</strong> COVID-19 is a viral infection that causes pneumonia with dyspnea, cough, and fever. Its outcomes are more severe in patients with diabetes, hypertension, and other disorders than in healthy people. New-onset diabetes and diabetic ketoacidosis (DKA) have been reported as the complications of COVID-19 in several studies. It seems that the prevalence of DKA due to Covid-19 is increasing. Therefore, two cases of individuals with DKA due to COVID-19 are presented in this study to inform other researchers about the details of this phenomenon.<br>
<strong>Material and Methods:</strong> Demographic characteristics, medical histories, physical examinations, laboratory investigations, real-time RT-PCR tests, computed tomography (CT) imaging studies, given treatments, clinical courses, and management outcomes were documented prospectively. <span dir="RTL"></span><br>
<strong>Results</strong>: In the present experience, the manifestation of COVID-19 disease in the second case with a history of diabetes was more severe than in the first case. In the second case, with underlying diabetes and COVID-19, the DKA manifestation was associated with consciousness loss, severe restlessness, and respiratory distress; however, in the first case, with COVID-19 without diabetes, the DKA manifestation was associated with anorexia, weight loss, and lack of respiratory distress, which were milder symptoms than the second case.<br>
<strong>Conclusion:</strong> Due to the high prevalence of diabetes mellitus and COVID-19 in Iran, it is recommended to raise awareness of DKA symptoms among health professionals.</span></span></p>
Diabetes Complications,Diabetic Ketoacidosis,Covid-19,
12
16
http://johe.rums.ac.ir/browse.php?a_code=A-10-386-1&slc_lang=en&sid=1
Mehdi
Kafi
mmm.kafi@yahoo.com
2240031947532846007858
2240031947532846007858
No
Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Rafsanjan University of Medical Science
Maryam
Karimifard
karimifardmaryam6@gmail.com
2240031947532846007859
2240031947532846007859
Yes
Assistant Prof., Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Rafsanjan University of Medical Science
Sima
Amiorroaya
s.aminorroaya@shu.ac.uk
2240031947532846007860
2240031947532846007860
No
Associate Prof., Dept. of Engineering and Mathematics, Sheffield Hallam University, Sheffield S1 1WB, UK.
Sheffield Hallam University