id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-338288-vfcoyezy	Kabashneh, Sohaip	Multi-Organ Failure in a Patient With Diabetes due to COVID-19 With Clear Lungs	2020-05-15		.txt	text/plain	1407	77	53	We report a case of a middle-aged man with DM and COVID-19 who developed seizure and altered mental status, found to have diabetic ketoacidosis (DKA), acute kidney injury, hypovolemic shock, and hyperammonemia all contributing to metabolic encephalopathy. The patient was subsequently intubated for airway protection; basic labs showed multiple abnormalities including: DKA with blood glucose (BG) 1100, anion gap 46, HCO 3 4 , beta hydroxybutyrate 65.6; he also had acute kidney injury (AKI) with creatinine (Cr) of 4.9 (baseline was 1.0), blood urea nitrogen 84 , potassium 6.4, sodium 146, chloride 96, phosphorus 18.7, lactic acid 17.3; there was also evidence of liver function abnormalities with elevated ammonia level at 244; arterial blood gas was consistent with high anion gap metabolic acidosis with pH 6.79, HCO 3 4, PaCO 2 36, PaO 2 473.	./cache/cord-338288-vfcoyezy.txt	./txt/cord-338288-vfcoyezy.txt