Severe diabetic ketoacidosis precipitated by COVID-19 in pediatric patients: Two case reports.

Introduction: The association of COVID-19 with diabetes mellitus is bidirectional. In one direction, diabetes mellitus is associated with an increased risk of severe COVID-19. In the opposite direction, in patients with COVID-19 new-onset diabetes mellitus, severe diabetic ketoacidosis and severe metabolic complications have been described.

Clinical Case: This report describes two patients with diabetes mellitus who came to our hospital with ketoacidosis resulting from new-onset diabetes mellitus. We describe the clinical course and the management approach during the COVID-19 pandemic.

Conclusion: COVID-19 is associated with metabolic complications such as severe diabetic ketoacidosis.