tetano
Editor, Senior Moderator
J Clin Transl Endocrinol Case Rep
. 2021 Nov 4;22:100099.
doi: 10.1016/j.jecr.2021.100099. Online ahead of print.
Severe hypertriglyceridemia: A rare complication of diabetic ketoacidosis in a 3-year-old with SARS-CoV-2 infection
Caroline Basta[SUP] 1 [/SUP], Kristen Ramones[SUP] 1 [/SUP], Saranga Agarwal[SUP] 1 [/SUP], Gina Marino[SUP] 1 [/SUP], Steven Ghanny[SUP] 1 [/SUP]
Affiliations
Abstract
Introduction: Children commonly present in diabetic ketoacidosis (DKA) secondary to Type 1 diabetes mellitus. Electrolyte imbalances and cerebral edema are common complications in the pediatric age group; however, patients may also have additional metabolic disturbances such as hyperlipidemia. We report a case of a pediatric patient with new-onset type 1 Diabetes Mellitus (DM) and DKA complicated by severe hypertriglyceridemia with recent exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
Case presentation: A three-year-old male noted to be SARS-CoV-2 positive, presented with hyperglycemia, metabolic acidosis, and ketosis consistent with DKA. Patient was later found to have severe hypertriglyceridemia (greater than 5680mg/dl). He was managed with intravenous (IV) fluids and IV insulin replacement with improvement of triglycerides.
Conclusion: Severe hypertriglyceridemia in DKA, though rare in the pediatric population, responds very well to IV insulin therapy. This case also highlights possible need for early lipid screening in DKA patients with SARS-CoV-2 positive status.
Keywords: Diabetic ketoacidosis; Hypertriglyceridemia; SARS-CoV-2.
. 2021 Nov 4;22:100099.
doi: 10.1016/j.jecr.2021.100099. Online ahead of print.
Severe hypertriglyceridemia: A rare complication of diabetic ketoacidosis in a 3-year-old with SARS-CoV-2 infection
Caroline Basta[SUP] 1 [/SUP], Kristen Ramones[SUP] 1 [/SUP], Saranga Agarwal[SUP] 1 [/SUP], Gina Marino[SUP] 1 [/SUP], Steven Ghanny[SUP] 1 [/SUP]
Affiliations
- PMID: 34751241
- PMCID: PMC8566196
- DOI: 10.1016/j.jecr.2021.100099
Abstract
Introduction: Children commonly present in diabetic ketoacidosis (DKA) secondary to Type 1 diabetes mellitus. Electrolyte imbalances and cerebral edema are common complications in the pediatric age group; however, patients may also have additional metabolic disturbances such as hyperlipidemia. We report a case of a pediatric patient with new-onset type 1 Diabetes Mellitus (DM) and DKA complicated by severe hypertriglyceridemia with recent exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
Case presentation: A three-year-old male noted to be SARS-CoV-2 positive, presented with hyperglycemia, metabolic acidosis, and ketosis consistent with DKA. Patient was later found to have severe hypertriglyceridemia (greater than 5680mg/dl). He was managed with intravenous (IV) fluids and IV insulin replacement with improvement of triglycerides.
Conclusion: Severe hypertriglyceridemia in DKA, though rare in the pediatric population, responds very well to IV insulin therapy. This case also highlights possible need for early lipid screening in DKA patients with SARS-CoV-2 positive status.
Keywords: Diabetic ketoacidosis; Hypertriglyceridemia; SARS-CoV-2.