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1例2019冠状病毒病(COVID-19)感染患者出现血糖水平低于预期的糖尿病酮症酸中毒及顽固性代谢性酸中毒,需行挽救性血液透析治疗

Diabetic Ketoacidosis with Lower-than-anticipated Glucose Levels, and Recalcitrant Metabolic Acidosis Requiring Rescue Hemodialysis in a Patient of COVID-19 Infection.

作者信息

Vadi Sonali, Bajpe Sumiran, Kulkarni Niranjan

机构信息

Department of Intensive Care Medicine, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India.

Department of Nephrology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India.

出版信息

Indian J Crit Care Med. 2022 Jun;26(6):752-754. doi: 10.5005/jp-journals-10071-24257.

Abstract

UNLABELLED

Coronavirus disease-2019 (COVID-19) has stood out as a disease of great medical interest, influencing disease evolution, and severity of diabetes mellitus. The intersection of COVID-19 infection and diabetes mellitus has unmasked inflammation and critical metabolic disturbances. We deliberate the case of a young woman, with type 2 diabetes mellitus, who was hospitalized for COVID-19 infection. Work-up revealed diabetic ketoacidosis (DKA) with lower-than-anticipated glucose levels, and acute metabolic acidosis. Refractoriness of metabolic acidosis to standard treatment required hemodialysis as a salvage therapy.

HOW TO CITE THIS ARTICLE

Vadi S, Bajpe S, Kulkarni N. Diabetic Ketoacidosis with Lower-than-anticipated Glucose Levels, and Recalcitrant Metabolic Acidosis Requiring Rescue Hemodialysis in a Patient of COVID-19 Infection. Indian J Crit Care Med 2022;26(6):752-754.

摘要

未标注

2019年冠状病毒病(COVID-19)已成为极具医学研究价值的疾病,影响着疾病的发展以及糖尿病的严重程度。COVID-19感染与糖尿病的交叉影响揭示了炎症和严重的代谢紊乱。我们研讨了一名患有2型糖尿病的年轻女性因COVID-19感染住院的病例。检查发现糖尿病酮症酸中毒(DKA)且血糖水平低于预期,同时伴有急性代谢性酸中毒。代谢性酸中毒对标准治疗无效,需要进行血液透析作为挽救治疗。

如何引用本文

Vadi S, Bajpe S, Kulkarni N. COVID-19感染患者出现血糖水平低于预期的糖尿病酮症酸中毒及顽固性代谢性酸中毒需挽救性血液透析治疗。《印度重症监护医学杂志》2022年;26(6):752 - 754。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/828c/9237165/7e16a104b111/ijccm-26-752-g001.jpg

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