New onset adrenal insufficiency in a patient with COVID-19
| Autor: | Maram Hashim, Syed Athar, Waqar Gaba |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Adrenal disorder Hydrocortisone Hypophosphatemia Vomiting Prednisolone Water-Electrolyte Imbalance Physiology adrenal disorders 030209 endocrinology & metabolism Stimulation Case Report Adrenocorticotropic hormone Disease 03 medical and health sciences 0302 clinical medicine 0502 economics and business Adrenal insufficiency Medicine Endocrine system Humans Glucocorticoids business.industry SARS-CoV-2 05 social sciences COVID-19 General Medicine Middle Aged medicine.disease Blood pressure Fluid Therapy 050211 marketing Pituitary-Adrenal Function Tests medicine.symptom Hypotension business Acidosis Adrenal Insufficiency Hyponatremia fluid electrolyte and acid-base disturbances |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| Popis: | SARS-CoV-2 is the cause of COVID-19. Since the outbreak and rapid spread of COVID-19, it has been apparent that the disease is having multi-organ system involvement. Still its effect in the endocrine system is not fully clear and data on cortisol dynamics in patients with COVID-19 are not yet available. SARS-CoV-2 can knock down the host’s cortisol stress response. Here we present a case of a 51-year-old man vomiting for 10 days after having confirmed COVID-19 infection. He had hypotension and significant hyponatraemia. Work-up was done including adrenocorticotropic hormone stimulation test. He was diagnosed as suffering from adrenal insufficiency and started on steroids with subsequent improvement in both blood pressure and sodium level. COVID-19 can cause adrenal insufficiency. Clinicians must be vigilant about the possibility of an underlying relative cortisol deficiency in patients with COVID-19. |
| Databáze: | OpenAIRE |
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