Medicine · 2022
An unusual presentation of diabetic ketoacidosis associated with ascariasis and fungal esophagitis: A case report.
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Alduraibi Rabia Khalid, Elzaki Elzaki Mohamed, Alammari Ammar
Аннотация
RATIONALE: Gastrointestinal symptoms are most commonly observed in patients with diabetic ketoacidosis (DKA), which usually resolves completely with therapy. However, gastrointestinal symptoms may persist after DKA is resolved.
PATIENT CONCERNS: A 22-year-old female was admitted to hospital for epigastric pain and persistent vomiting. The results of laboratory examination showed fungal esophagitis complicated by DKA.
DIAGNOSIS: The patient was diagnosed with DKA associated with ascariasis and fungal esophagitis.
OUTCOME: The patient was discharged after treatment.
LESSONS: In this case, despite the correction of metabolic acidosis, persistent nausea, vomiting and dysphagia can be a sign of esophagitis in patients with type 1 diabetes. Therefore, physicians should be aware of fungal infections associated with type 1 diabetes.
PATIENT CONCERNS: A 22-year-old female was admitted to hospital for epigastric pain and persistent vomiting. The results of laboratory examination showed fungal esophagitis complicated by DKA.
DIAGNOSIS: The patient was diagnosed with DKA associated with ascariasis and fungal esophagitis.
OUTCOME: The patient was discharged after treatment.
LESSONS: In this case, despite the correction of metabolic acidosis, persistent nausea, vomiting and dysphagia can be a sign of esophagitis in patients with type 1 diabetes. Therefore, physicians should be aware of fungal infections associated with type 1 diabetes.