Masoumeh Kheirandish - Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Feysal Yousefzade - Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Kimia Seddighi - Endocrinology and Metabolism Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Mojtaba Khademi Bafrouie - Department of Gastroenterology and Hepatology, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Arash Rahmimi - Endocrinology and Metabolism Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

The novel coronavirus infection ۲۰۱۹ (COVID-۱۹) is a pandemic viral disease officially named by World Health Organization (WHO) on March ۱۱, ۲۰۲۰. It is mainly a respiratory disease but can involve other organs. Extrapulmonary presentations are broad and not well recognized. COVID-۱۹ may trigger diabetic ketoacidosis (DKA) in a patient with adequately controlled diabetes. Pregnancy is an incomplete immune suppression status, making women more susceptible to infections, and the disease-related morbidity is higher during pregnancy. Herein, we present the case of a ۲۳-year-old diabetic pregnant woman at ۲۸ weeks gestation with acute pancreatitis, DKA, hypertriglyceridemia, with confirmed COVID-۱۹ infection using polymerase change reaction (PCR). She underwent antiviral therapy, adequate intravenous hydration, insulin infusion, and plasmapheresis in the intensive care unit (ICU). Her condition ultimately improved. COVID-۱۹ with simultaneous pregnancy and diabetes mellitus increases the risk of metabolic disorders. Therefore, rapid diagnosis and adequate management would be considered.

Case report, COVID-۱۹, Diabetic ketoacidosis, Pancreatitis, Pregnancy