a pregnant woman with covid-19, diabetic ketoacidosis, and pancreatitis

The novel coronavirus infection 2019 (covid-19) is a pandemic viral disease officially named by world health organization (who) on march 11, 2020. it is mainly a respiratory disease but can involve other organs. extrapulmonary presentations are broad and not well recognized. covid-19 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 23-year-old diabetic pregnant woman at 28 weeks gestation with acute pancreatitis, dka, hypertriglyceridemia, with confirmed covid-19 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-19 with simultaneous pregnancy and diabetes mellitus increases the risk of metabolic disorders. therefore, rapid diagnosis and adequate management would be considered.