-
Case Reports
An unusual presentation of diabetic ketoacidosis associated with ascariasis and fungal esophagitis: A case report.
- Rabia Khalid Alduraibi, Elzaki Mohamed Elzaki, and Ammar Alammari.
- Department of Endocrine and Diabetes, King Fahad Specialist Hospital, Buraydah, Saudi Arabia.
- Medicine (Baltimore). 2022 Nov 25; 101 (47): e32015e32015.
RationaleGastrointestinal 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 ConcernsA 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.DiagnosisThe patient was diagnosed with DKA associated with ascariasis and fungal esophagitis.OutcomeThe patient was discharged after treatment.LessonsIn 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.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..