Corona virus disease – 19 associated mucormycosis in a child with diabetic ketoacidosis and newly diagnosed type 1 diabetes mellitus

COVID-19 pandemic continues to affect billions of lives world over, and especially during the second wave, India was reeling under a double pandemic of COVID-19 and COVID associated mucormycosis (CAM), with thousands of cases reported daily. The cause of this deadly combination of COVID-19 and mucormycosis still remains elusive, though various theories have been put forth such as extensive use of steroids and immunosuppressants, premorbid conditions such as diabetes, immunosuppressive states such as malignancies, etc. Fortunately, symptomatic acute COVID-19 and its complications are strikingly less in children. We report a child presenting as diabetic ketoacidosis (DKA), was diagnosed to have type1 DM, was also SARS-CoV-2 RTPCR positive, and landed in worst possible complication of CAM, all within a span of 2 weeks; and was successfully treated for all of these ailments. So acute symptomatic COVID-19 infection, though rare in pediatric age group, can sometimes present as complications of undiagnosed comorbidities, and although challenging, successful management is rewarding.