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Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency.
Fux Otta, Carolina; Moreno, Laura; Vitaloni, Roberto; Iraci, Gabriel S.
  • Fux Otta C; Dpto. de Endocrinología y Diabetes. Hospital Universitario de Maternidad y Neonatología de Córdoba. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba, Argentina. . endofux@yahoo.com.ar.
  • Moreno L; Cátedra de Clínica Pediátrica. Hospital Universitario de Maternidad y Neonatología de Córdoba. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba, Argentina.. lauramoreno2352@gmail.com.
  • Vitaloni R; Area de Epidemiología. Departamento Castellanos. Santa Fe, Argentina.. drvitaloni@gmail.com.
  • Iraci GS; Cátedra de Farmacología Aplicada I y II. Hospital Nacional de Clínicas. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba, Argentina.. gabysi_01@yahoo.com.
Rev Fac Cien Med Univ Nac Cordoba ; 77(4): 363-366, 2020 12 01.
Article in English | MEDLINE | ID: covidwho-995121
ABSTRACT

BACKGROUND:

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) outbreak originated in Wuhan (China) rapidly turned into a pandemic. Due to a national compulsive decree of quarantine, office visits for chronic disease control were delay. Hypopituitarism includes all clinical conditions that result in partial or complete failure of the pituitary gland's ability to secrete hormones. Pituitary insufficiency per se has been associated with an increase in both morbidity and mortality, particularly due to cardiovascular disease, which is an important risk factor for COVID-19 disease severity.

OBJECTIVE:

To report the first case of SARS-CoV-2 infection in a patient with hypopituitarism, discuss the implications of the treatments the patient was taking and grade up the value of telemedicine in the present scenario.

METHODS:

Report of the clinical record of a patient with hypopituitarism and infection with SARS-CoV-2.

RESULTS:

During the span of the infection, the patient remained on the same hormonal therapeutic scheme (thyroid, gonadal and adrenal axis). The dose of hydrocortisone was not changed during the course of the infection as she was asymptomatic. We use telemedicine to control and advise her on the treatment.

CONCLUSION:

Health care professionals should carefully follow up on the evolution of patients with hypopituitarism to provide them a safer outcome. The use of telemedicine as a methodology for selected patients acquires relevance in the present epidemiological context.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Hypopituitarism Type of study: Case report / Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans Language: English Journal: Rev Fac Cien Med Univ Nac Cordoba Year: 2020 Document Type: Article Affiliation country: 1853.0605.v77.n4.29997

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Hypopituitarism Type of study: Case report / Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans Language: English Journal: Rev Fac Cien Med Univ Nac Cordoba Year: 2020 Document Type: Article Affiliation country: 1853.0605.v77.n4.29997