Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website https://www.journalmc.org

Case Report

Volume 13, Number 9, September 2022, pages 432-437


SARS-CoV-2 Unmasks Type 1 Diabetes Mellitus With an Episode of Diabetic Ketoacidosis

Figure

Figure 1.
Figure 1. A normal chest X-ray of the patient, taken on the day of admission.

Tables

Table 1. Venous Blood Laboratory Findings on Admission
 
ParameterReference rangeResult
ALT: alanine aminotransferase; APTT: activated partial thromboplastin time; AST: aspartate aminotransferase; CPK: creatine phosphokinase; GGT: gamma-glutamyl transferase; HbA1c: glycosylated hemoglobin; INR: international normalized ratio; LDH: lactate dehydrogenase.
Hemoglobin (g/dL)11.9 - 14.8 for females14.7
White blood cells (× 109/L)4.5 - 1010.2
  Neutrophils (× 109/L)2.6 - 7.88.04
  Lymphocytes (× 109/L)1 - 41.71
Platelets (× 109/L)140 - 400302
Glucose (mg/dL)75 - 115580
Urea (mg/dL)10 - 7147
Creatinine (mg/dL)0.5 - 0.91.04
Sodium (mmol/L)135 - 146145
Potassium (mmol/L)3.6 - 5.24.6
Chloride (mmol/L)96 - 106114
Phosphorus (mg/dL)2.7 - 4.51.68
AST (U/L)3 - 3238
ALT (U/L)3 - 3330.5
Total bilirubin (mg/dL)0 - 10.21
GGT (U/L)5 - 3612
Alkaline phosphatase (U/L)35 - 10482
Amylase (U/L)28 - 10019
Albumin (g/dL)3.5 - 54.62
LDH (U/L)135 - 225215
CPK (U/L)30 - 135 for females39
C-reactive protein (mg/L)≤ 531.4
Ferritin (ng/mL)13 - 150400.7
HbA1c (%)4 - 5.614
INR0.85 - 1.21.16
APTT (s)15 - 4029.8
Fibrinogen (mg/dL)150 - 450302
D-dimer≤ 0.51.11

 

Table 2. Arterial Blood Gases on Admission (FiO2 21%)
 
ParameterReference rangeResult
pH7.35 - 7.457.06
pCO2 (mm Hg)35 - 4510.7
pO2 (mm Hg)75 - 100156.9
HCO3- (mmol/L)22 - 283.1
SpO2 (%)95 - 9998.8
Lactate (mmol/L)≤ 21.7
Anion gap (mmol/L)8 - 1632.5

 

Table 3. Urine Analysis on Admission
 
ParameterReference rangeResult
pH4.5 - 85
Specific gravity1,000 - 1,0351,030
ProteinNegative+1
GlucoseNegative+4
KetonesNegative+2
NitriteNegativeNegative
White blood cellsAbsentAbsent
Red blood cellsAbsentAbsent
MicroorganismsAbsentAbsent