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SARS-CoV-2 感染导致一名少女发生甲状腺危象和心力衰竭。

SARS-CoV-2 infection induced thyroid storm and heart failure in an adolescent girl.

机构信息

Department of Pediatrics, Children's of Mississippi Heart Center, University of Mississippi Medical Center, Jackson, MS, USA.

Department of Pediatrics, Division of Endocrinology, University of Mississippi Medical Center, Jackson, MS, USA.

出版信息

Cardiol Young. 2022 Jun;32(6):988-992. doi: 10.1017/S1047951121004352. Epub 2021 Oct 18.

Abstract

We report a case of thyroid storm precipitated by SARS-CoV-2 infection in an adolescent girl with a history of Graves disease and dilated cardiomyopathy. This case highlights that SARS-CoV-2 infection can potentially trigger a thyrotoxicosis crisis and acute decompensated heart failure in a patient with underlying thyroid disease and myocardial dysfunction even in the absence of multi-system inflammatory syndrome in children. We systematically reviewed the thyrotoxicosis cases with SARS-CoV-2 infection and described its impact on pre-existing dilated cardiomyopathy.

摘要

我们报告了一例由 SARS-CoV-2 感染引发的甲状腺危象的病例,该患者为一名患有 Graves 病和扩张型心肌病的青少年女孩。本病例强调,即使不存在儿童多系统炎症综合征,SARS-CoV-2 感染也可能在患有潜在甲状腺疾病和心肌功能障碍的患者中引发甲状腺毒症危象和急性失代偿性心力衰竭。我们系统地回顾了伴有 SARS-CoV-2 感染的甲状腺毒症病例,并描述了其对先前存在的扩张型心肌病的影响。

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