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1例与新型冠状病毒肺炎相关的抗利尿激素分泌不当综合征

A case of Inappropriate Antidiuretic Hormone Secretion Syndrome Associated with COVID-19 Pneumonia.

作者信息

Gemcioglu E, Karabuga B, Ercan A, Erden A

机构信息

Ankara City Hospital, Ministry of Health, Department of Internal Medicine, Ankara, Turkey.

Ankara City Hospital, Ministry of Health, "Yildirim Beyazit" University, Faculty of Medicine - Internal Medicine, Ankara, Turkey.

出版信息

Acta Endocrinol (Buchar). 2020 Jan-Mar;16(1):110-111. doi: 10.4183/aeb.2020.110.

Abstract

At the end of 2019, a novel coronavirus was identified as the cause of a cluster of pneumonia in China and it spread quickly to other countries. Although Covid-19 causes severe pneumonia, it is known that it can be associated with different diseases and prognosis of disease can be due to many of disorders such as hyponatremia. A 65-year-old female patient with sarcoidosis, cronic obstructive lung disease, hypertension and congestive heart failure presented to the emergency department with shortness of breath and fever. Oropharyngeal swab for Covid-19 PCR test was positive. After the initiation of treatment, the patient developed hyponatremia. This case is remarkable because there is no reported case of Covid-19 and inappropriate ADH syndrome coexistence and it demonstrates that there may be a correlation between Covid-19 infection prognosis and hyponatremia.

摘要

2019年底,一种新型冠状病毒被确定为中国一组肺炎病例的病因,并迅速传播到其他国家。虽然新冠病毒会导致严重肺炎,但已知它可能与不同疾病相关,且疾病的预后可能归因于许多病症,如低钠血症。一名65岁女性患者,患有结节病、慢性阻塞性肺疾病、高血压和充血性心力衰竭,因呼吸急促和发热到急诊科就诊。新冠病毒PCR检测的口咽拭子呈阳性。开始治疗后,患者出现了低钠血症。该病例值得关注,因为此前没有新冠病毒与抗利尿激素分泌异常综合征并存的报道病例,且它表明新冠病毒感染预后与低钠血症之间可能存在关联。

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