Case Report: COVID-19 with Bilateral Adrenal Hemorrhage.

Case Report: COVID-19 with Bilateral Adrenal Hemorrhage. Am J Trop Med Hyg. 2020 Jul 17;: Authors: Álvarez-Troncoso J, Zapatero Larrauri M, Montero Vega MD, Gil Vallano R, Palmier Peláez E, Martín Rojas-Marcos P, Martín-Luengo F, Lázaro Del Campo P, Herrero Gil CR, Trigo Esteban E Abstract 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. PMID: 32682452 [PubMed - as supplied by publisher]
Source: Am J Trop Med Hyg - Category: Infectious Diseases Authors: Tags: Am J Trop Med Hyg Source Type: research