Adrenal insufficiency in coronavirus disease 2019: a case report

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...

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Main Authors: Maryam Heidarpour, Mehrbod Vakhshoori, Saeed Abbasi, Davood Shafie, Nima Rezaei
Format: Article
Language:English
Published: BMC 2020-08-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-020-02461-2
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author Maryam Heidarpour
Mehrbod Vakhshoori
Saeed Abbasi
Davood Shafie
Nima Rezaei
author_facet Maryam Heidarpour
Mehrbod Vakhshoori
Saeed Abbasi
Davood Shafie
Nima Rezaei
author_sort Maryam Heidarpour
collection DOAJ
description 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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spelling doaj.art-89306af86ae54528b19b802c7ee748932022-12-21T22:44:27ZengBMCJournal of Medical Case Reports1752-19472020-08-011411410.1186/s13256-020-02461-2Adrenal insufficiency in coronavirus disease 2019: a case reportMaryam Heidarpour0Mehrbod Vakhshoori1Saeed Abbasi2Davood Shafie3Nima Rezaei4Endocrinology, Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical SciencesIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesAnesthesiology and Critical Care Research Center, Nosocomial Infection Research Center, Isfahan University of Medical SciencesCardiology/Heart Failure and Transplantation, Heart Failure Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical SciencesResearch Center for Immunodeficiencies, Children’s Medical Center, Tehran University of Medical SciencesAbstract 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.http://link.springer.com/article/10.1186/s13256-020-02461-2Adrenal insufficiencyCOVID-192019-nCoVSARS-CoV-2Case report
spellingShingle Maryam Heidarpour
Mehrbod Vakhshoori
Saeed Abbasi
Davood Shafie
Nima Rezaei
Adrenal insufficiency in coronavirus disease 2019: a case report
Journal of Medical Case Reports
Adrenal insufficiency
COVID-19
2019-nCoV
SARS-CoV-2
Case report
title Adrenal insufficiency in coronavirus disease 2019: a case report
title_full Adrenal insufficiency in coronavirus disease 2019: a case report
title_fullStr Adrenal insufficiency in coronavirus disease 2019: a case report
title_full_unstemmed Adrenal insufficiency in coronavirus disease 2019: a case report
title_short Adrenal insufficiency in coronavirus disease 2019: a case report
title_sort adrenal insufficiency in coronavirus disease 2019 a case report
topic Adrenal insufficiency
COVID-19
2019-nCoV
SARS-CoV-2
Case report
url http://link.springer.com/article/10.1186/s13256-020-02461-2
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AT davoodshafie adrenalinsufficiencyincoronavirusdisease2019acasereport
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