Agrawal Taruna*, Dancso Janos
Background: There is more evidence that COVID-19 infection affects the glucose metabolism. Diabetic Ketoacidosis (DKA) is a life-threatening medical emergency requiring urgent treatment. There are few case reports of Euglycemic DKA (EDKA) occurring in pregnant patients with pre-existing either type 1, type 2 Diabetes Mellitus (DM) and Gestational Diabetes Mellitus (GDM). However, this is a case report of patient developing EDKA without any previous history or risk factors for developing GDM in pregnancy and who developed GDM following COVID-19 infection in pregnancy.
Case presentation: We describe a case report of 29 year old Gravida 2+0 patient without previous history of DM complicated with EDKA at 28 weeks of pregnancy following COVID 19 infection. EDKA needs a higher level of suspicion for diagnosis and is associated with increased fetal morbidity and mortality, if left undiagnosed and untreated.
Conclusion: We discussed the possible causes, differential diagnosis, and a multidisciplinary management plan for euglycemic diabetic ketoacidosis.
Published Date: 2025-02-13; Received Date: 2024-02-06
