胰岛素依赖性糖尿病可继发于病毒感染,特别是柯萨奇病毒B_4的感染。这一病毒已从有些病人的胰腺中分离出来。作者观察到柯萨奇病毒B_5感染后突然产生胰岛素依赖性糖尿病的病例。 一名16个月的婴儿在接受白喉、百日咳、破伤风三联疫苗及脊髓灰质炎疫苗后一周,出现急性发热及紫癜(血小板计数10,000)、入院后检查,尿糖阴性,空腹血糖84毫克％,大便中分离出柯萨奇 Insulin-dependent diabetes can be secondary to viral infections, especially coxsackievirus B 4 infections. This virus has been isolated from the pancreas of some patients. The authors observed a sudden onset of insulin-dependent diabetes mellitus after Coxsackie virus B_5 infection. A 16-month-old infant developed acute fever and purpura (platelet count 10,000) one week after receiving the diphtheria, pertussis, tetanus and polio vaccine, post-admission examination, urine negative, fasting blood glucose 84 mg% Coxsackie isolated in the stool