Severe hyperglycemia and diabetic ketoacidosis may create an immunocompromised and hypercoagulable state predisposing to atypical infective endocarditis and acute purulent pericarditis.
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May guide nonsurgical management of purulent pericarditis with embolism; hypothesis-generating for DKA-related atypical endocarditis.
Oki et al. (2005) studied this question.
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