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Adrenal insufficiency in coronavirus disease 2019: a case report.
Heidarpour, Maryam; Vakhshoori, Mehrbod; Abbasi, Saeed; Shafie, Davood; Rezaei, Nima.
  • Heidarpour M; Endocrinology, Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Vakhshoori M; Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Abbasi S; Anesthesiology and Critical Care Research Center, Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Shafie D; Cardiology/Heart Failure and Transplantation, Heart Failure Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran. d.shafie87@gmail.com.
  • Rezaei N; Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
J Med Case Rep ; 14(1): 134, 2020 Aug 24.
Article in English | MEDLINE | ID: covidwho-727299
ABSTRACT

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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Critical Illness / Adrenal Insufficiency / Coronavirus Infections / Betacoronavirus / Intensive Care Units Type of study: Case report / Diagnostic study / Observational study Topics: Long Covid Limits: Aged / Humans / Male Language: English Journal: J Med Case Rep Year: 2020 Document Type: Article Affiliation country: S13256-020-02461-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Critical Illness / Adrenal Insufficiency / Coronavirus Infections / Betacoronavirus / Intensive Care Units Type of study: Case report / Diagnostic study / Observational study Topics: Long Covid Limits: Aged / Humans / Male Language: English Journal: J Med Case Rep Year: 2020 Document Type: Article Affiliation country: S13256-020-02461-2