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一名甲状腺功能减退患者的新冠后眩晕:病例报告

Post COVID-19 Vertigo in a Patient with Hypothyroidism: A Case Report.

作者信息

Guzman David Calderon, Brizuela Norma Osnaya, Peraza Armando Valenzuela, Herrera Maribel Ortiz, Mejia Gerardo Barragan, Juarez Olguin Hugo

机构信息

Laboratory of Neurosciences. Instituto Nacional de Pediatria (INP), Mexico City, Mexico.

Laboratory of Experimental Bacteriology. INP, Mexico City, Mexico.

出版信息

Diabetes Metab Syndr Obes. 2024 Apr 29;17:1845-1851. doi: 10.2147/DMSO.S459711. eCollection 2024.

Abstract

CASE SUMMARY

Female nurse, 44-years-old with a weight of 127 pounds. She attended our emergency clinic for an urgent care due to post COVID-19 vertigo and anxiety. Her problem began with severe, short-lived attacks of objective-circular type vertigo, accompanied by nausea and vomiting. The symptoms occurred when she assumed a lying position, turn right and sat or stood upright.

INTERVENTIONS

The patient received medical prescription for hypothyroidism, vertigo and anxiety symptoms. Oral route feeding was started and was well tolerated.

OUTCOMES

The patient showed good evolution with the treatment. Currently, she is at home with daily intake of levothyroxine and losartan without complications.

CONCLUSION

The clinical case suggests that in patients with hypothyroidism, COVID-19 infection may trigger and exacerbate vertigo and anxiety.

摘要

病例摘要

44岁女性护士,体重127磅。她因新冠后眩晕和焦虑到我们的急诊诊所寻求紧急护理。她的问题始于严重的、短暂发作的客观旋转型眩晕,并伴有恶心和呕吐。这些症状在她躺下、向右转以及坐起或站立时出现。

干预措施

患者接受了针对甲状腺功能减退、眩晕和焦虑症状的药物处方。开始经口喂养,耐受性良好。

结果

患者治疗后病情好转。目前,她在家中每日服用左甲状腺素和氯沙坦,无并发症。

结论

该临床病例表明,甲状腺功能减退患者感染新冠病毒可能引发并加重眩晕和焦虑。

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本文引用的文献

1
Hypothyroidism Induced Hyponatremia: A Case Report.甲状腺功能减退症导致的低钠血症:病例报告。
JNMA J Nepal Med Assoc. 2022 Sep 1;60(253):815-816. doi: 10.31729/jnma.7471.
4
Hyperlipidemia and hypothyroidism.高脂血症与甲状腺功能减退症。
Clin Chim Acta. 2022 Feb 15;527:61-70. doi: 10.1016/j.cca.2022.01.006. Epub 2022 Jan 14.
5
Diagnosis and Management of Central Congenital Hypothyroidism.中枢性先天性甲状腺功能减退症的诊断和治疗。
Front Endocrinol (Lausanne). 2021 Sep 9;12:686317. doi: 10.3389/fendo.2021.686317. eCollection 2021.
10

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