Though Diabetes Ketoacidosis (DKA) is a dreaded complication of Type 1 Diabetes Mellitus (T1DM), literature shows its prevalence in Type 2 Diabetes Mellitus (T2DM) too. In most cases, the trigger is an infection. Dengue Fever (DF) like other viral infections can also precipitate DKA in both types 1 and type 2 diabetes mellitus patients as there is an increased release of pro‐inflammatory cytokines by various mechanisms which further increases the risk of plasma leakage. Volume status assessment can be misguided by monitoring the urine output as polyuria may persist even during shock due to hyperglycemia in dengue. In‐fact, acidosis may be produced by shock and ketosis but it also may not truly reflect the shock severity. Here we report a case of Dengue Fever (DF), in critical phase, precipitating DKA in a middle‐aged T2DM patient.
Nayan Paul, Nabanita Mondal, Satyam Kundu, Sourja Kanti Ghosh, Firdaus Ahmed, Nashim Akhter and Mainak Mandal. Diabetic Ketoacidosis: An Atypical Presentation of Dengue Fever in a T2DM Patient.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.3.57.58
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.3.57.58