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

During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, coronavirus disease 2019 (COVID-19) has been significantly studied for its relationship with diabetes mellitus in general. Still, the association of SARS-CoV-2 infection with diabetic ketoacidosis (DKA) is more specific and warrants a meticulous investigational approach. In this case report, we present a 23-year-old female who developed DKA as the first manifestation of SARS-CoV-2 infection.

Potential exposure of humans to Rickettsia felis in Greece.

Rickettsia felis is a flea-transmitted pathogen however, in Greece, much work has been done on another flea-borne pathogen, R. typhi; human cases have been described and high-risk areas have been characterized. Nevertheless, little is known about human infections caused by R.

Increasing awareness of physicians against severe leptospirosis: A treatable but potentially fatal zoonotic infection.

Leptospirosis is a worldwide, often severe and potentially fatal zoonotic infection. Here, we present the case of a 35-year-old man with severe leptospirosis infection that was identified early and was treated effectively, with a quite impressive complete recovery. Delaying of early diagnosis and treatment is crucial for the development of an unfavorable clinical course and increases the risk of a lethal outcome.

Murine typhus in elderly patients: a prospective study of 49 patients.

Background: The characteristics of Rickettsia typhi infection in elderly patients have not been extensively described in the literature.

Methods: We conducted a prospective study on murine typhus in patients > 65 years old in two endemic areas of Greece.

Results: Forty-nine elderly patients were analyzed, including 30 (61.

Murine typhus in central Greece: epidemiological, clinical, laboratory, and therapeutic-response features of 90 cases.

Objectives: To document and evaluate the clinico-epidemiological profile of murine typhus during the re-emergence of the disease in a previously endemic focus in central Greece.

Methods: This was a 5-year, hospital-based, observational study, in which 90 adult patients with murine typhus were prospectively identified and studied.

Results: Most cases of the disease occurred in rural (52%) and semi-urban (34%) settings, with a seasonal frequency peak during the late summer.