BACKGROUND The severe acute respiratory syndrome coronavirus-2(SARS-CoV-2) has been found to be responsible for the recent global pandemic known as coronavirus disease 2019(COVID-19). SARS-CoV-2 infections not only re...BACKGROUND The severe acute respiratory syndrome coronavirus-2(SARS-CoV-2) has been found to be responsible for the recent global pandemic known as coronavirus disease 2019(COVID-19). SARS-CoV-2 infections not only result in significant respiratory symptoms but also cause several extrapulmonary manifestations, such as thrombotic complications, myocardial dysfunction and arrhythmia, thyroid dysfunction, acute kidney injury, gastrointestinal symptoms, neurological symptoms, ocular symptoms, and dermatological complications. We present the first documented case of thyroid storm in a pregnant woman precipitated by SARS-CoV-2.CASE SUMMARY A 42-year-old multiparous woman at 35 + 2 wk of gestation visited the emergency room(ER) with altered mentation, seizures, tachycardia, and high fever. The patient showed no remarkable events in the prenatal examination, and the nasopharyngeal COVID-19 polymerase chain reaction(PCR) test was positive two days before the ER visit. The results of laboratory tests, such as liver function test,serum electrolytes, blood glucose, blood urea nitrogen, and creatinine, were all within the normal ranges. However, the thyroid function test showed hyperthyroidism, and the nasopharyngeal COVID-19 PCR test was positive, as expected. No specific findings were observed on the brain computed tomography,and there were no signs of lateralization on neurological examination. Fetal heartbeat and movement were good, and there were no significant uterine contractions. The initial impression was atypical eclampsia. However, the patient’s condition worsened, and a cesarean section was performed under general anesthesia;a healthy boy was delivered, and 12 h after delivery, the patient’s seizures disappeared and consciousness was restored. The patient was referred to an endocrinologist for hyperthyroidism, and a thyroid storm with Graves’ disease was diagnosed. Here, SARS-CoV-2 was believed to be the trigger for the thyroid storm, considering that the patient tested positive for COVID-19 two days before the seizures.CONCLUSION In pregnant women presenting with seizures or changes in consciousness, the possibility of a thyroid storm should be considered. There are various causes for a thyroid storm, but given the recent pandemic, it is necessary to bear in mind that the thyroid storm may be precipitated by COVID-19.展开更多
Bismuthinite （Bi2S3）nanostructures were prepared by a hydrothermal method with sodium ethylenediamine- tetraacetate （EDTA-Na2）. The morphology of Bi2S3 nanostructures was changed from a nanorod to a nanoplate by p...Bismuthinite （Bi2S3）nanostructures were prepared by a hydrothermal method with sodium ethylenediamine- tetraacetate （EDTA-Na2）. The morphology of Bi2S3 nanostructures was changed from a nanorod to a nanoplate by presence of the EDTA-Na2. The altered morphology was caused by the capping effect of EDTA-Na2 with Bi3＋ ions, which induces the suboptimal growth direction due to partially blocking the preferential orientation direction. When the EDTA-Na2/Bi3＋ molar ratio= 1, the growth of Bi2S3 nanostructures was not allowed due to the chelating effect of EDTA-Na2. The obtained Bi2S3 nanorods, stacked nanorods, nanoplates and nanoparticles were characterized using X-ray diffraction （XRD）, transmission electron microscopy （TEM）, high-resolution transmission electron mi- croscopy （HRTEM） and selected area electron diffraction （SAED） pattern. A possible formation mechanism of these morphologies was proposed. The successful synthesis of various morphologies of nanostructured Bi2S3 may open up new possibilities for thermoelectric, electronic and optoelectronic uses of nanodevices based on Bi2S3 nanostructure.展开更多
文摘BACKGROUND The severe acute respiratory syndrome coronavirus-2(SARS-CoV-2) has been found to be responsible for the recent global pandemic known as coronavirus disease 2019(COVID-19). SARS-CoV-2 infections not only result in significant respiratory symptoms but also cause several extrapulmonary manifestations, such as thrombotic complications, myocardial dysfunction and arrhythmia, thyroid dysfunction, acute kidney injury, gastrointestinal symptoms, neurological symptoms, ocular symptoms, and dermatological complications. We present the first documented case of thyroid storm in a pregnant woman precipitated by SARS-CoV-2.CASE SUMMARY A 42-year-old multiparous woman at 35 + 2 wk of gestation visited the emergency room(ER) with altered mentation, seizures, tachycardia, and high fever. The patient showed no remarkable events in the prenatal examination, and the nasopharyngeal COVID-19 polymerase chain reaction(PCR) test was positive two days before the ER visit. The results of laboratory tests, such as liver function test,serum electrolytes, blood glucose, blood urea nitrogen, and creatinine, were all within the normal ranges. However, the thyroid function test showed hyperthyroidism, and the nasopharyngeal COVID-19 PCR test was positive, as expected. No specific findings were observed on the brain computed tomography,and there were no signs of lateralization on neurological examination. Fetal heartbeat and movement were good, and there were no significant uterine contractions. The initial impression was atypical eclampsia. However, the patient’s condition worsened, and a cesarean section was performed under general anesthesia;a healthy boy was delivered, and 12 h after delivery, the patient’s seizures disappeared and consciousness was restored. The patient was referred to an endocrinologist for hyperthyroidism, and a thyroid storm with Graves’ disease was diagnosed. Here, SARS-CoV-2 was believed to be the trigger for the thyroid storm, considering that the patient tested positive for COVID-19 two days before the seizures.CONCLUSION In pregnant women presenting with seizures or changes in consciousness, the possibility of a thyroid storm should be considered. There are various causes for a thyroid storm, but given the recent pandemic, it is necessary to bear in mind that the thyroid storm may be precipitated by COVID-19.
文摘Bismuthinite （Bi2S3）nanostructures were prepared by a hydrothermal method with sodium ethylenediamine- tetraacetate （EDTA-Na2）. The morphology of Bi2S3 nanostructures was changed from a nanorod to a nanoplate by presence of the EDTA-Na2. The altered morphology was caused by the capping effect of EDTA-Na2 with Bi3＋ ions, which induces the suboptimal growth direction due to partially blocking the preferential orientation direction. When the EDTA-Na2/Bi3＋ molar ratio= 1, the growth of Bi2S3 nanostructures was not allowed due to the chelating effect of EDTA-Na2. The obtained Bi2S3 nanorods, stacked nanorods, nanoplates and nanoparticles were characterized using X-ray diffraction （XRD）, transmission electron microscopy （TEM）, high-resolution transmission electron mi- croscopy （HRTEM） and selected area electron diffraction （SAED） pattern. A possible formation mechanism of these morphologies was proposed. The successful synthesis of various morphologies of nanostructured Bi2S3 may open up new possibilities for thermoelectric, electronic and optoelectronic uses of nanodevices based on Bi2S3 nanostructure.
