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Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or COVID-19, is a pandemic infectious disease involved all over the world Its mortality, especially in cases with additional co-morbidities, is so high that is has attracted the attention of the world Diabetes mellitus is known as one of its risk factors for mortality Case Presentation: A unique case of pediatrics COVID-19 who presented with diabetic ketoacidosis (DKA) is reported in this manuscript as the first presentation He presented with abdominal pain, nausea, and vomiting RT-PCR test for COVID-19 via nasal swab was performed, and a positive diagnosis was obtained Chest CT scan confirmed the diagnosis with multifocal bilateral patchy consolidation Case was discharged after usual treatment of COVID-19
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