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10.4269/ajtmh.20-0722

http://scihub22266oqcxt.onion/10.4269/ajtmh.20-0722
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32682452!7470557!32682452
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suck abstract from ncbi


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pmid32682452      Am+J+Trop+Med+Hyg 2020 ; 103 (3): 1156-1157
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  • Case Report: COVID-19 with Bilateral Adrenal Hemorrhage #MMPMID32682452
  • Alvarez-Troncoso J; Zapatero Larrauri M; Montero Vega MD; Gil Vallano R; Palmier Pelaez E; Martin Rojas-Marcos P; Martin-Luengo F; Lazaro Del Campo P; Herrero Gil CR; Trigo Esteban E
  • Am J Trop Med Hyg 2020[Sep]; 103 (3): 1156-1157 PMID32682452show ga
  • A 70-year-old Dominican Republic man presented with lower back pain for 10 days. Fifteen days before pain onset, he had low-grade fever, chills, and asthenia, and 4 days before admission, he had constipation, malaise, generalized weakness, anorexia, nausea, and vomiting. On admission, the patient was afebrile and hypotensive, with a heart rate of 105 and an oxyhemoglobin saturation on room air of 95%. Hyponatremia, lymphopenia, elevated C-reactive protein, and ferritin were observed in complementary tests. Computed tomography (CT) scan showed findings consistent with COVID-19 bilateral bronchopneumonia, and an increase in size and blurring (loss of the Y shape) of both adrenals indicative of acute bilateral adrenal hemorrhage. The patient tested negative by reverse transcription polymerase chain reaction (RT-PCR) of nasopharyngeal swab, yet positive for IgG and IgM by ELISA, suggesting COVID-19 diagnosis.
  • |*Betacoronavirus[MESH]
  • |Adrenal Gland Diseases/diagnosis/*etiology[MESH]
  • |Aged[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications[MESH]
  • |Hemorrhage/diagnosis/*etiology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications[MESH]


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