No abstract

Artigo de opinião com reflexões sobre o papel da Atenção Primária à Saúde (APS) na pandemia de COVID-19 a partir da definição de seus atributos: acesso, longitudinalidade, integralidade, coordenação, orientação familiar, orientação comunitária e competência cultural.

The pandemic caused by COVID-19 triggers a disease that manifests itself through flu-like symptoms from mild to severe, up to varied clinical presentations, involving different organs and systems. In pediatric patients, COVID-19 has shown milder manifestations compared to adult patients. The authors report in this article a case that suggest diabetic ketoacidosis (CAD) as the initial manifestation of COVID-19, in a 13-year-old female patient, previously diagnosed with type I diabetes mellitus, admitted to a pediatric emergency room with symptoms CAD compatible, later tested positive for COVID-19. This article discusses the importance of considering COVID-19 infection as a cause of diabetic decompensation in the pediatric population and the possibility of this relationship helping to discover new mechanisms of the disease.