一名青少年男性新冠肺炎合并高血糖高渗综合征的复杂病例
A Complicated Case of COVID-19 and Hyperglycemic Hyperosmolar Syndrome in an Adolescent Male.
作者信息
Gohil Anisha, Malin Stefan, Abulebda Kamal, Hannon Tamara S
机构信息
Division of Endocrinology & Diabetes, Department of Pediatrics, Riley Hospital for Children at IU Health, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Division of Pediatric Critical Care, Department of Pediatrics, Riley Hospital for Children at IU Health, Indiana University School of Medicine, Indianapolis, Indiana, USA.
出版信息
Horm Res Paediatr. 2021;94(1-2):71-75. doi: 10.1159/000514281. Epub 2021 Mar 31.
Emerging data demonstrate that comorbid conditions and older age are contributing factors to COVID-19 severity in children. Studies involving youth with COVID-19 and diabetes are lacking. We report the case of a critically ill adolescent male with obesity, type 2 diabetes, and COVID-19 who presented with hyperglycemic hyperosmolar syndrome (HHS). This case highlights a challenge for clinicians in distinguishing severe complications of COVID-19 from those seen in HHS. Youth with obesity and type 2 diabetes may represent a high-risk group for severe COVID-19 disease, an entity that to date has been well-recognized in adults but remains rare in children and adolescents.
新出现的数据表明，合并症和年龄较大是儿童感染新冠病毒疾病严重程度的影响因素。目前缺乏针对感染新冠病毒且患有糖尿病的青少年的研究。我们报告了一例患有肥胖症、2型糖尿病和新冠病毒疾病的危重症青春期男性病例，该患者出现了高血糖高渗综合征（HHS）。该病例凸显了临床医生在区分新冠病毒疾病的严重并发症和高血糖高渗综合征方面面临的挑战。患有肥胖症和2型糖尿病的青少年可能是新冠病毒严重疾病的高危人群，这一情况在成人中已得到充分认识，但在儿童和青少年中仍然罕见。
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