Adrenal insufficiency in coronavirus disease 2019: a case report

Maryam Heidarpour,Davood Shafie,Mehrbod Vakhshoori,Nima Rezaei,Saeed Abbasi

doi:10.1186/s13256-020-02461-2

Abstract

BackgroundNovel coronavirus disease 2019 presents with fever, dry cough, fatigue, and shortness of breath in most cases; however, some rare manifestations in other organs have also been reported so far.Case presentationHere, the case of a 69-year-old Iranian man with coronavirus disease 2019 is presented who suffered from frequent episodes of vasopressor-resistant hypotension during intensive care unit admission, which was finally attributed to the occurrence of acute adrenal insufficiency.ConclusionsAs this is a rare complication, adrenal insufficiency might be easily overlooked. However, early detection of this disease among critically ill patients infected with coronavirus disease 2019 could be lifesaving, especially among those unresponsive to vasopressor agents.

Highlights

Novel coronavirus disease 2019 presents with fever, dry cough, fatigue, and shortness of breath in most cases; some rare manifestations in other organs have been reported so far
We present the case of a 69-year-old man with COVID19, who experienced an acute crisis of adrenal insufficiency during hospitalization
53rd day of admission 34.5 11.5 12,100 188,000 Negative (−) 140 3.9 8.5 3.2 3.4 26 0.9 96 1.1 31 0.3 Negative (−) – 31 28. This current report presented an individual infected with COVID-19 with no prior history of adrenal diseases who experienced acute adrenal insufficiency during hospitalization

Summary

Introduction

Novel coronavirus disease 2019 presents with fever, dry cough, fatigue, and shortness of breath in most cases; some rare manifestations in other organs have been reported so far. In the complex setting of critical illness, adrenal insufficiency is overlooked as a cause of vasopressor-resistance hypotension [4]. We present the case of a 69-year-old man with COVID19, who experienced an acute crisis of adrenal insufficiency during hospitalization.

Results

Conclusion