Multi-Organ Failure in a Patient With Diabetes due to COVID-19 With Clear Lungs

The pandemic of coronavirus disease 2019 has emerged in late 2019 infecting millions of people worldwide. Diabetes mellitus (DM) has been associated with severe illness and mortality mainly due to acute respiratory distress syndrome. We report a case of a middle-aged man with DM and COVID-19 who dev...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-05, Vol.12 (5)
Main Authors: Kabashneh, Sohaip, Ali, Hammad, Alkassis, Samer
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Case reports
Coronaviruses
COVID-19
Diabetes
Diabetic ketoacidosis
Enzymes
Glucose
Hyperglycemia
Hypoxia
Infectious Disease
Internal Medicine
Lungs
Metabolism
Pandemics
Patients
Pneumonia
Potassium
Pulmonology
Severe acute respiratory syndrome coronavirus 2
Urine
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Summary:The pandemic of coronavirus disease 2019 has emerged in late 2019 infecting millions of people worldwide. Diabetes mellitus (DM) has been associated with severe illness and mortality mainly due to acute respiratory distress syndrome. We report a case of a middle-aged man with DM and COVID-19 who developed seizure and altered mental status, found to have diabetic ketoacidosis (DKA), acute kidney injury, hypovolemic shock, and hyperammonemia all contributing to metabolic encephalopathy. He was admitted to the ICU and subsequently intubated for airway protection; with appropriate management his condition improved and was successfully extubated. The patient had no lung involvement throughout the illness. We report this case to highlight that COVID-19 can lead to multi-organ failure in patients with DM even in the absence of lung involvement which all physicians should be mindful of.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.8147