Emerging data demonstrate that comorbid conditions and older age are contributing factors to COVID-19 severity in children. Studies involving youth with COVID-19 and diabetes are lacking. We report the case of a critically ill adolescent male with obesity, type 2 diabetes, and COVID-19 who presented with hyperglycemic hyperosmolar syndrome (HHS). This case highlights a challenge for clinicians in distinguishing severe complications of COVID-19 from those seen in HHS. Youth with obesity and type 2 diabetes may represent a high-risk group for severe COVID-19 disease, an entity that to date has been well-recognized in adults but remains rare in children and adolescents.
Horm Res Paediatr

中文翻译：

---

一名青少年男性出现 COVID-19 和高血糖高渗综合征的复杂病例

新出现的数据表明，合并症和年龄较大是导致儿童 COVID-19 严重程度的因素。缺乏涉及 COVID-19 和糖尿病患者的研究。我们报告了一名患有肥胖症、2 型糖尿病和 COVID-19 的危重青少年男性的病例，他出现了高血糖高渗综合征 (HHS)。该病例凸显了临床医生在区分 COVID-19 的严重并发症与 HHS 中所见的严重并发症方面面临的挑战。患有肥胖症和 2 型糖尿病的青少年可能是严重 COVID-19 疾病的高危人群，迄今为止，这种疾病在成人中已得到广泛认可，但在儿童和青少年中仍然很少见。
儿科荷尔蒙