Periapical abscess precipitating diabetic ketoacidosis and reversible sepsis-induced cardiomyopathy: a case report - Takeaways - DentalSpire

Diabetic Ketoacidosis and Reversible Sepsis-Induced Cardiomyopathy Triggered by a Periapical Abscess: A Case Study

  • By

  • Jixia Jin

  • Lian Liao

  • Yinhang Ren

  • Guiyun Li

  • Yuyang Qiu

  • July 15, 2026

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  • 1

    Diabetic ketoacidosis (DKA) is a severe complication of diabetes, often triggered by infections, particularly in patients with poor glycemic control.

  • 2

    Odontogenic infections, such as periapical abscesses, can lead to life-threatening DKA and septic shock in diabetic patients.

  • 3

    A 57-year-old female with poorly controlled type 2 diabetes presented with severe DKA and sepsis due to a left submandibular abscess.

  • 4

    Echocardiography revealed severe left ventricular systolic dysfunction, consistent with sepsis-induced cardiomyopathy, which improved after treatment.

  • 5

    Multidisciplinary management, including antibiotics and fluid resuscitation, led to rapid clinical improvement and complete recovery of cardiac function.

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