title: A Case of Diabetic Ketoacidosis Following Chikungunya Virus Infection.
abstract: Chikungunya is a mosquito-borne viral disease that has recently become endemic in the Caribbean, including the island of Puerto Rico. We present the case of a 50-year-old Puerto Rican man who traveled to St. Louis for business and was diagnosed with acute chikungunya virus infection with atypical features causing diabetic ketoacidosis. This case highlights the need to keep tropical infectious diseases on the differential diagnosis in appropriate individuals and the ways in which tropical infectious diseases can masquerade as part of common presentations.
authors.affiliation: Division of Medical Education, Department of Internal Medicine, Washington University in St. Louis, Missouri; Barnes Jewish Hospital, St. Louis, Missouri.
authors.forename: Illya
authors.initials: I
authors.lastname: Tolokh
authors.affiliation: Division of Medical Education, Department of Internal Medicine, Washington University in St. Louis, Missouri; Barnes Jewish Hospital, St. Louis, Missouri laux.timothy@gmail.com.
authors.forename: Timothy
authors.initials: T
authors.lastname: Laux
authors.affiliation: Division of Medical Education, Department of Internal Medicine, Washington University in St. Louis, Missouri; Barnes Jewish Hospital, St. Louis, Missouri.
authors.forename: Daniel
authors.initials: D
authors.lastname: Kim
mesh_terms: D061605:Administration, Intravenous; D000932:Antiemetics / Q000627:therapeutic use; D065632:Chikungunya Fever / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006760:Hospitalization; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011647:Puerto Rico; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000932:Antiemetics; D007328:Insulin