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Adrenal haemorrhage as a complication of COVID-19 infection

We report an unusual complication of COVID-19 infection in a 53-year-old Caucasian man. He presented with shortness of breath, fever and pleuritic chest pain. A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change cons...

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Autores principales: Sharrack, Noor, Baxter, Conal Thomas, Paddock, Michael, Uchegbu, Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705581/
https://www.ncbi.nlm.nih.gov/pubmed/33257399
http://dx.doi.org/10.1136/bcr-2020-239643
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author Sharrack, Noor
Baxter, Conal Thomas
Paddock, Michael
Uchegbu, Elizabeth
author_facet Sharrack, Noor
Baxter, Conal Thomas
Paddock, Michael
Uchegbu, Elizabeth
author_sort Sharrack, Noor
collection PubMed
description We report an unusual complication of COVID-19 infection in a 53-year-old Caucasian man. He presented with shortness of breath, fever and pleuritic chest pain. A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change consistent with COVID-19 (SARS-CoV-2) infection. Right adrenal haemorrhage was suspected on the CTPA which was confirmed on triple-phase abdominal CT imaging. A short Synacthen test revealed normal adrenal function. He was treated initially with an intravenous heparin infusion, which was changed to apixaban with a planned outpatient review in 3 months’ time. He made an uncomplicated recovery and was discharged. Follow-up imaging nearly 5 months later showed near complete resolution of the right adrenal haemorrhage with no CT evidence of an underlying adrenal lesion.
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spelling pubmed-77055812020-12-09 Adrenal haemorrhage as a complication of COVID-19 infection Sharrack, Noor Baxter, Conal Thomas Paddock, Michael Uchegbu, Elizabeth BMJ Case Rep Case Report We report an unusual complication of COVID-19 infection in a 53-year-old Caucasian man. He presented with shortness of breath, fever and pleuritic chest pain. A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change consistent with COVID-19 (SARS-CoV-2) infection. Right adrenal haemorrhage was suspected on the CTPA which was confirmed on triple-phase abdominal CT imaging. A short Synacthen test revealed normal adrenal function. He was treated initially with an intravenous heparin infusion, which was changed to apixaban with a planned outpatient review in 3 months’ time. He made an uncomplicated recovery and was discharged. Follow-up imaging nearly 5 months later showed near complete resolution of the right adrenal haemorrhage with no CT evidence of an underlying adrenal lesion. BMJ Publishing Group 2020-11-30 /pmc/articles/PMC7705581/ /pubmed/33257399 http://dx.doi.org/10.1136/bcr-2020-239643 Text en © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ. This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.https://bmj.com/coronavirus/usage
spellingShingle Case Report
Sharrack, Noor
Baxter, Conal Thomas
Paddock, Michael
Uchegbu, Elizabeth
Adrenal haemorrhage as a complication of COVID-19 infection
title Adrenal haemorrhage as a complication of COVID-19 infection
title_full Adrenal haemorrhage as a complication of COVID-19 infection
title_fullStr Adrenal haemorrhage as a complication of COVID-19 infection
title_full_unstemmed Adrenal haemorrhage as a complication of COVID-19 infection
title_short Adrenal haemorrhage as a complication of COVID-19 infection
title_sort adrenal haemorrhage as a complication of covid-19 infection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705581/
https://www.ncbi.nlm.nih.gov/pubmed/33257399
http://dx.doi.org/10.1136/bcr-2020-239643
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