Adrenal insufficiency in coronavirus disease 2019: a case report

被引：41

作者：

Heidarpour, Maryam ^{[1
]}

Vakhshoori, Mehrbod ^{[2
]}

Abbasi, Saeed ^{[3
]}

Shafie, Davood ^{[4
]}

Rezaei, Nima ^{[5
,6
,7
]}

机构：

[1] Isfahan Univ Med Sci, Isfahan Endocrine & Metab Res Ctr, Endocrinol, Esfahan, Iran

[2] Isfahan Univ Med Sci, Cardiovasc Res Inst, Isfahan Cardiovasc Res Ctr, Esfahan, Iran

[3] Isfahan Univ Med Sci, Anesthesiol & Crit Care Res Ctr, Nosocomial Infect Res Ctr, Esfahan, Iran

[4] Isfahan Univ Med Sci, Isfahan Cardiovasc Res Inst, Heart Failure Res Ctr, Cardiol Heart Failure & Transplantat, Esfahan, Iran

[5] Univ Tehran Med Sci, Res Ctr Immunodeficiencies, Childrens Med Ctr, Tehran, Iran

[6] Univ Tehran Med Sci, Sch Med, Dept Immunol, Tehran, Iran

[7] Univ Sci Educ & Res Network USERN, Network Immun Infect Malignancy & Autoimmun NIIMA, Tehran, Iran

来源：

JOURNAL OF MEDICAL CASE REPORTS | 2020年 / 14卷 / 01期

关键词：

Adrenal insufficiency; COVID-19; 2019-nCoV; SARS-CoV-2; Case report; CORTICOSTEROID INSUFFICIENCY; MANAGEMENT; DIAGNOSIS;

D O I：

10.1186/s13256-020-02461-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background Novel coronavirus disease 2019 presents with fever, dry cough, fatigue, and shortness of breath in most cases; however, some rare manifestations in other organs have also been reported so far. Case presentation Here, the case of a 69-year-old Iranian man with coronavirus disease 2019 is presented who suffered from frequent episodes of vasopressor-resistant hypotension during intensive care unit admission, which was finally attributed to the occurrence of acute adrenal insufficiency. Conclusions As this is a rare complication, adrenal insufficiency might be easily overlooked. However, early detection of this disease among critically ill patients infected with coronavirus disease 2019 could be lifesaving, especially among those unresponsive to vasopressor agents.

引用

页数：4