Unusual presentation of diabetic ketoacidosis associated with ascariasis and fungal esophagitis: A case report

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Rabia Khalid Alduraibi*, Elzaki Mohamed Elzaki and Ammar Alammari

King Fahad Specialist Hospital, KSA

: Endocrinol Diabetes Res

Abstract

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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.Recent Publications: 1. Yakoob J, Jafri W, Abid S, et al. Candida esophagitis: risk factors in non-HIV population in Pakistan. World J Gastroenterol. 2003;9:2328–31. 2. Saeed A, Assiri A, Zaidi Z, et al. Fungal esophagitis in a child with insulin dependent diabetes mellitus. J Coll Phys Surg Pak. 2016;26:712–13.3. Badarinarayanan G, Gowrisankar R, Muthulakshmi K. Esophageal candidiasis in non-immune suppressed patients in a semi-urban town, Southern India. Mycopathologia. 2000;149:1–4. 4. Nassar Y, Eljabbour T, Lee H, et al. Possible risk factors for candida esophagitis in immunocompetent individuals.Gastroenterol Res. 2018;11:195–9. 5. Bonacini M, Young T, Laine L. The causes of esophageal symptoms in human immunode ciency virus infection: a prospective study of 110 patients. Arch Intern Med. 1991;151:1567–72

Biography

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Rabia Khalid Alduraibi has completed her Medical school from Qassim University and Family medicine resident from King Saud University Hospital. She is currently Diabetes follow at King Fahad Specialist Hospital.