TY - JOUR
T1 - Unusual cause of severe diabetic ketoacidosis precipitated by Streptococcus bovis/equinus (SBSEC) bacteremia
T2 - Case report and review of literature
AU - Idrees, Sana
AU - Gupta, Sonali
AU - Mantilla, Miguel
AU - Goyal, Pradeep
AU - Hulinsky, Ilja
N1 - Publisher Copyright:
© 2017 The Authors
PY - 2018
Y1 - 2018
N2 - Diabetic ketoacidosis is a feared complication in patients with diabetes mellitus and poses high risk of mortality and morbidity unless treated in timely manner. Infection is one of the most common precipitating factors for the development of diabetic ketoacidosis. Bacteremia with Group A and Group B beta hemolytic streptococcal strains are well known, however nonenterococcal Group D strains such as the Streptococcus bovis/Streptococcus equinus complex (SBSEC) still remains an understudied entity. Here we present a case of a 35-year-old Type I diabetic female presenting with severe diabetic ketoacidosis with overlapping features of hyperosmolar hyperglycemia, precipitated by Streptococcus alactolyticus bacteremia, successfully treated with four-week course of parenteral ceftriaxone. This case report emphasizes the potential importance of SBSEC as an emerging pathologic strain and culprit for triggering diabetic ketoacidosis which requires prompt diagnosis and targeted therapy.
AB - Diabetic ketoacidosis is a feared complication in patients with diabetes mellitus and poses high risk of mortality and morbidity unless treated in timely manner. Infection is one of the most common precipitating factors for the development of diabetic ketoacidosis. Bacteremia with Group A and Group B beta hemolytic streptococcal strains are well known, however nonenterococcal Group D strains such as the Streptococcus bovis/Streptococcus equinus complex (SBSEC) still remains an understudied entity. Here we present a case of a 35-year-old Type I diabetic female presenting with severe diabetic ketoacidosis with overlapping features of hyperosmolar hyperglycemia, precipitated by Streptococcus alactolyticus bacteremia, successfully treated with four-week course of parenteral ceftriaxone. This case report emphasizes the potential importance of SBSEC as an emerging pathologic strain and culprit for triggering diabetic ketoacidosis which requires prompt diagnosis and targeted therapy.
KW - Diabetic ketoacidosis
KW - Nonenterococcal group D streptococcus
KW - Streptococcus alactolyticus
KW - Streptococcus bovis/equinus (SBSEC)
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U2 - 10.1016/j.idcr.2017.12.004
DO - 10.1016/j.idcr.2017.12.004
M3 - Article
AN - SCOPUS:85040375880
SN - 2214-2509
VL - 11
SP - 53
EP - 55
JO - IDCases
JF - IDCases
ER -