Euglycemic diabetic ketoacidosis in pregnancy with COVID‐19: A case report and literature review |
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Authors: | Sameena Wazir Saheed Shittu Khaled Dukhan Maram Sharief Stephen Beer Waseem Malik Lolwa Alansari |
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Institution: | 1. Department of Obstetrics and Gynecology, Hamad Medical Corporation (HMC), Al Wakra Hospital (AWH), Doha Qatar ; 2. Department of Medicine, HMC, AWH, Doha Qatar ; 3. Department of Emergency Medicine, HMC, Hamad General Hospital (HGH), Doha Qatar |
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Abstract: | Diabetic ketoacidosis (DKA) is a life‐threatening complication of diabetes and is considered a medical emergency. Euglycemic DKA (EKDA) is a variant of DKA with a normal or minimally elevated glucose level <200 mg/dl. The condition can be difficult to diagnose due to the relatively normal glucose levels. Pregnancy, infection, and a low‐calorie intake are some of the contributing common etiologies of EDKA. Despite a rapid increase in scientific publications on COVID‐19, there are still knowledge gaps regarding the course of COVID‐19 in some patient subset. This is especially the case for pregnant women. In this case report, we discuss the course of COVID‐19 infection in a pregnant woman with gestational diabetes who developed severe euglycemic diabetic ketoacidosis triggered by various precipitating factors, including starvation, caused by COVID‐19 infection and its gastrointestinal effects. |
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Keywords: | COVID‐ 19 infection euglycemic diabetic ketoacidosis pregnancy |
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