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Refractory Arterial Hypotension in a Patient with COVID-19: Could the Hypothalamic-Pituitary-Adrenal Axis Be Involved? Case Report and Mini Review

Refractory Arterial Hypotension in a Patient with COVID-19: Could the Hypothalamic-Pituitary-Adrenal Axis Be Involved? Case Report and Mini Review
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摘要 Neuro-endocrinological manifestations rarely are described in cases of SARS- CoV-2. We describe a case of a previously hypertensive patient who presented COVID-19 and developed refractory arterial hypotension. In the investigation, low levels of ACTH and cortisol were observed, suggesting secondary adrenal insufficiency as the cause of refractory hypotension. Neuro-endocrinological manifestations rarely are described in cases of SARS- CoV-2. We describe a case of a previously hypertensive patient who presented COVID-19 and developed refractory arterial hypotension. In the investigation, low levels of ACTH and cortisol were observed, suggesting secondary adrenal insufficiency as the cause of refractory hypotension.
作者 Francisco E. Finamor Luciana P. Finamor Frederico J. N. Mancuso Jaquelina S. Ota-Arakaki Marcelo R. S. Moraes Cristina Muccioli Nancy Bellei Francisco E. Finamor;Luciana P. Finamor;Frederico J. N. Mancuso;Jaquelina S. Ota-Arakaki;Marcelo R. S. Moraes;Cristina Muccioli;Nancy Bellei(Discipline of Emergency Medicine, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil;Clinical Research Sector, Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil;Discipline of Pneumology, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil;Discipline of Infectious Diseases, Federal University of São Paulo, São Paulo, Brazil)
出处 《Advances in Infectious Diseases》 2020年第3期160-167,共8页 传染病进展(英文)
关键词 ACTH Hypocortisolism COVID-19 Adrenal Insufficiency Arterial Hypotension ACTH Hypocortisolism COVID-19 Adrenal Insufficiency Arterial Hypotension

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