A Case Report on Covid-19 Causing New Onset of Diabetes Even with No History

Amit Sharma, Manisha Vohra, Mohammad Amir, Ian Osoro
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Abstract

This case report presents a case of a 51-year-old male patient who was found to be diabetic after recovering from COVID-19. The patient was admitted to the COVID care center after testing positive for COVID-19 on November 2020. After spending one week in intensive care and ten days in the isolation ward of the COVID care center, he continued to feel multiple side effects. After fifteen days, he began showing signs of recovery and had no fever or other symptoms of COVID-19. The third SARS-Cov-2 RNA by RT-PCR sample test was also found to be negative. He was shifted to a non-COVID hospital when he became stable. For COVID-19, he was treated with supplementary oxygen therapy by keeping his oxygen level at 5L/min with titrating flow rate SpO2 of more than 90%. The hydroxychloroquine 400 mg orally BD for two days, followed by 200 mg orally BD for four days with a combination of azithromycin 500mg orally OD for five days, was prescribed to him to treat COVID-19. According to the report "New-onset diabetes in COVID-19," published in the New England Journal of Medicine, there is a bidirectional relationship between COVID-19 and diabetes.
1例无病史的新型冠状病毒引起糖尿病新发病例报告
本病例报告报告了一例51岁男性患者,在新冠肺炎康复后被发现患有糖尿病。该患者于2020年11月被检测为新冠病毒阳性,并被送入新冠肺炎护理中心。在重症监护室呆了一周,在新冠肺炎护理中心的隔离病房呆了十天之后,他继续感受到多种副作用。15天后,他开始出现康复迹象,没有发烧或其他COVID-19症状。RT-PCR检测的第三种SARS-Cov-2 RNA也呈阴性。病情稳定后,他被转移到非新冠医院。对新冠肺炎患者进行补氧治疗,维持血氧水平5L/min,滴定流量SpO2≥90%。治疗方法:羟氯喹400 mg口服BD 2天,口服BD 200 mg,连用4天,联合阿奇霉素500mg口服OD 5天。据《新英格兰医学杂志》发表的《新冠肺炎新发糖尿病》报道,新冠肺炎与糖尿病之间存在双向关系。
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