Children's National Hospital, Washington, DC, United States.
Children's National Hospital, Washington, DC, United States; George Washington University School of Medicine and Health Sciences, United States.
Am J Emerg Med. 2021 Nov;49:437.e5-437.e8. doi: 10.1016/j.ajem.2021.04.045. Epub 2021 Apr 19.
Patients with diabetes have increased susceptibility to infection with Severe acute respiratory syndrome-coronavirus 2 and increased morbidity and mortality from Coronavirus disease 2019 (COVID-19) infection. Mortality from COVID-19 is sometimes caused by cardiac arrhythmias. Electrolyte disturbances in patients with diabetic ketoacidosis (DKA) can increase the risk of cardiac arrhythmias. Despite these correlations, little has been reported about the co-incidence of these three conditions: COVID-19, DKA and cardiac arrhythmias. In this case report we describe two children with COVID-19, new-onset DKA and cardiac arrhythmias. These cases emphasize the importance of close cardiac and electrolyte monitoring in patients with COVID-19 infection.
糖尿病患者易感染严重急性呼吸综合征冠状病毒 2 并增加 2019 冠状病毒病（COVID-19）感染的发病率和死亡率。COVID-19 导致的死亡率有时是由心律失常引起的。糖尿病酮症酸中毒（DKA）患者的电解质紊乱会增加心律失常的风险。尽管存在这些相关性，但关于 COVID-19、DKA 和心律失常这三种情况同时发生的报道很少。在本病例报告中，我们描述了两例 COVID-19 新发病例、DKA 和心律失常的儿童患者。这些病例强调了 COVID-19 感染患者密切监测心脏和电解质的重要性。
