| Autor: |
Álvarez-Troncoso J; 1Internal Medicine Department, La Paz University Hospital, Madrid, Spain., Zapatero Larrauri M; 2Endocrinology Department, La Paz University Hospital, Madrid, Spain., Montero Vega MD; 3Microbiology Department, Head of the Serology, Molecular Biology Laboratory, La Paz University Hospital, Madrid, Spain., Gil Vallano R; 4Radiology Department, La Paz University Hospital, Madrid, Spain., Palmier Peláez E; 1Internal Medicine Department, La Paz University Hospital, Madrid, Spain., Martín Rojas-Marcos P; 2Endocrinology Department, La Paz University Hospital, Madrid, Spain., Martín-Luengo F; 5Universidad Autónoma de Madrid, Madrid, Spain., Lázaro Del Campo P; 6Hematology Department, La Paz University Hospital, Madrid, Spain., Herrero Gil CR; 1Internal Medicine Department, La Paz University Hospital, Madrid, Spain., Trigo Esteban E; 1Internal Medicine Department, La Paz University Hospital, Madrid, Spain.; 7High Level Isolation Unit, Tropical and Travel Medicine National Referral Unit, Clinical COVID-19 Team, La Paz University Hospital, Madrid, Spain. |
| Abstrakt: |
A 70-year-old Dominican Republic man presented with lower back pain for 10 days. Fifteen days before pain onset, he had low-grade fever, chills, and asthenia, and 4 days before admission, he had constipation, malaise, generalized weakness, anorexia, nausea, and vomiting. On admission, the patient was afebrile and hypotensive, with a heart rate of 105 and an oxyhemoglobin saturation on room air of 95%. Hyponatremia, lymphopenia, elevated C-reactive protein, and ferritin were observed in complementary tests. Computed tomography (CT) scan showed findings consistent with COVID-19 bilateral bronchopneumonia, and an increase in size and blurring (loss of the Y shape) of both adrenals indicative of acute bilateral adrenal hemorrhage. The patient tested negative by reverse transcription polymerase chain reaction (RT-PCR) of nasopharyngeal swab, yet positive for IgG and IgM by ELISA, suggesting COVID-19 diagnosis. |
