Two case reports describe complications in patients with diabetes

One case report described a type 1 diabetes patient with disseminated mucormycosis with rhinocerebral and pulmonary involvement, while the other reported a case of euglycemic diabetic ketoacidosis related to semaglutide.

Two case reports related to diabetes were recently published by Annals of Internal Medicine: Clinical Cases.

The first case, published May 7, involved a 21-year-old man with type 1 diabetes and recurrent diabetic ketoacidosis who developed disseminated mucormycosis with rhinocerebral and pulmonary involvement. Pneumomediastinum is exceedingly rare in the setting of this infection, with only two previous cases reported, the case authors stated.

The second case, published June 4, described 44-year-old woman prescribed semaglutide for diabetes. She experienced increasing fatigue and nausea and was eventually admitted to the hospital and diagnosed with euglycemic diabetic ketoacidosis (DKA). DKA has not been commonly reported with glucagon-like peptide-1 receptor agonists, but this might be due to underreporting, the case authors said.