Adrenal insufficiency in coronavirus disease 2019: a case report.
Identifieur interne : 000505 ( Main/Corpus ); précédent : 000504; suivant : 000506Adrenal insufficiency in coronavirus disease 2019: a case report.
Auteurs : Maryam Heidarpour ; Mehrbod Vakhshoori ; Saeed Abbasi ; Davood Shafie ; Nima RezaeiSource :
- Journal of medical case reports [ 1752-1947 ] ; 2020.
English descriptors
- KwdEn :
- Acute Disease (MeSH), Adrenal Insufficiency (diagnosis), Adrenal Insufficiency (etiology), Aged (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (complications), Coronavirus Infections (epidemiology), Critical Illness (MeSH), Humans (MeSH), Intensive Care Units (MeSH), Male (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (epidemiology), Tomography, X-Ray Computed (MeSH).
- MESH :
- complications : Coronavirus Infections, Pneumonia, Viral.
- diagnosis : Adrenal Insufficiency.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- etiology : Adrenal Insufficiency.
- Acute Disease, Aged, Betacoronavirus, Critical Illness, Humans, Intensive Care Units, Male, Pandemics, Tomography, X-Ray Computed.
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.
DOI: 10.1186/s13256-020-02461-2
PubMed: 32838801
PubMed Central: PMC7444179
Links to Exploration step
pubmed:32838801Le document en format XML
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and Critical Care Research Center, Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Shafie, Davood" sort="Shafie, Davood" uniqKey="Shafie D" first="Davood" last="Shafie">Davood Shafie</name><affiliation><nlm:affiliation>Cardiology/Heart Failure and Transplantation, Heart Failure Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran. d.shafie87@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Rezaei, Nima" sort="Rezaei, Nima" uniqKey="Rezaei N" first="Nima" last="Rezaei">Nima Rezaei</name><affiliation><nlm:affiliation>Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32838801</idno><idno type="pmid">32838801</idno><idno type="doi">10.1186/s13256-020-02461-2</idno><idno type="pmc">PMC7444179</idno><idno type="wicri:Area/Main/Corpus">000505</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000505</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Adrenal insufficiency in coronavirus disease 2019: a case report.</title><author><name sortKey="Heidarpour, Maryam" sort="Heidarpour, Maryam" uniqKey="Heidarpour M" first="Maryam" last="Heidarpour">Maryam Heidarpour</name><affiliation><nlm:affiliation>Endocrinology, Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Vakhshoori, Mehrbod" sort="Vakhshoori, Mehrbod" uniqKey="Vakhshoori M" first="Mehrbod" last="Vakhshoori">Mehrbod Vakhshoori</name><affiliation><nlm:affiliation>Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Abbasi, Saeed" sort="Abbasi, Saeed" uniqKey="Abbasi S" first="Saeed" last="Abbasi">Saeed Abbasi</name><affiliation><nlm:affiliation>Anesthesiology and Critical Care Research Center, Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Shafie, Davood" sort="Shafie, Davood" uniqKey="Shafie D" first="Davood" last="Shafie">Davood Shafie</name><affiliation><nlm:affiliation>Cardiology/Heart Failure and Transplantation, Heart Failure Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran. d.shafie87@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Rezaei, Nima" sort="Rezaei, Nima" uniqKey="Rezaei N" first="Nima" last="Rezaei">Nima Rezaei</name><affiliation><nlm:affiliation>Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of medical case reports</title><idno type="eISSN">1752-1947</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease (MeSH)</term><term>Adrenal Insufficiency (diagnosis)</term><term>Adrenal Insufficiency (etiology)</term><term>Aged (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (epidemiology)</term><term>Critical Illness (MeSH)</term><term>Humans (MeSH)</term><term>Intensive Care Units (MeSH)</term><term>Male (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (epidemiology)</term><term>Tomography, X-Ray Computed (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Adrenal Insufficiency</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Adrenal Insufficiency</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Aged</term><term>Betacoronavirus</term><term>Critical Illness</term><term>Humans</term><term>Intensive Care Units</term><term>Male</term><term>Pandemics</term><term>Tomography, X-Ray Computed</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CASE PRESENTATION</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32838801</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>03</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>03</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1752-1947</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>Aug</Month><Day>24</Day></PubDate></JournalIssue><Title>Journal of medical case reports</Title><ISOAbbreviation>J Med Case Rep</ISOAbbreviation></Journal><ArticleTitle>Adrenal insufficiency in coronavirus disease 2019: a case report.</ArticleTitle><Pagination><MedlinePgn>134</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13256-020-02461-2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText><AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">As this is a rare complication, adrenal insufficiency might be easily overlooked. 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