新型冠状病毒疾病中的原发性肾上腺功能不全和心肌炎：一例报告。
Primary adrenal insufficiency and myocarditis in COVID-19 disease: a case report.
机构信息
Department of Endocrinology, Rasool Akram Medical Complex, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of Cardiology, Rasool Akram Medical Complex, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
出版信息
BMC Endocr Disord. 2022 Dec 31;22(1):336. doi: 10.1186/s12902-022-01257-3.
BACKGROUND
COVID-19 has different manifestations from respiratory to GI problems, and some of them are more common, but some are rare. Reporting rare cases can significantly advance our understanding of the disease.
CASE PRESENTATION
In this case, we report an 18-year-old teenage boy with chest pain and resistant hypotension following COVID-19 infection, finally diagnosed as primary adrenal insufficiency and COVID-19 myocarditis.
CONCLUSION
Adrenal insufficiency can be life-threatening due to its adverse effects on hemodynamic and electrolyte equilibrium. In addition, COVID-19 induced myocarditis can make the situation more complicated.
背景
COVID-19 的表现形式从呼吸道问题到胃肠道问题各不相同，其中一些较为常见，而有一些则较为罕见。报告罕见病例可极大地促进我们对该疾病的认识。
病例介绍
本例中，我们报告了一例 COVID-19 感染后继发胸痛和难治性低血压的 18 岁青少年，最终诊断为原发性肾上腺功能不全和 COVID-19 心肌炎。
结论
肾上腺功能不全可危及生命，因为它对血流动力学和电解质平衡有不良影响。此外，COVID-19 引起的心肌炎可使病情更为复杂。
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