Fulminant type 1 diabetes mellitus associated with coxsackie virus type A2 infection: A case report and literature review

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Abstract

A 65-year-old Japanese man presented to our hospital in June 2013 with a 6-day history of fever and fatigue, a 24-h history of thirst, and polyuria. His temperature was 37.8℃ and he was alert. However, laboratory tests revealed severe hyperglycemia, undetectable C-peptide levels, and diabetic ketoacidosis. Serum antibody testing confirmed a Coxsackie virus A2 infection. A variety of viral infections are reported to be involved in the development of fulminant type 1 diabetes mellitus (FT1D). Our patient is the first reported case of FT1D associated with Coxsackie virus A2 infection and supports the etiological role of common viral infections in FT1D.

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Ohara, N., Kaneko, M., Nishibori, T., Sato, K., Furukawa, T., Koike, T., … Kamoi, K. (2016). Fulminant type 1 diabetes mellitus associated with coxsackie virus type A2 infection: A case report and literature review. Internal Medicine, 55(6), 643–646. https://doi.org/10.2169/internalmedicine.55.5292

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