Refractory Arterial Hypotension in a Patient with COVID-19: Could the Hypothalamic-Pituitary-Adrenal Axis Be Involved? Case Report and Mini Review

• 作者: Cristina Muccioli Francisco E. Finamor Frederico J. N. Mancuso Jaquelina S. Ota-Arakaki Luciana P. Finamor Marcelo R. S. Moraes Nancy Bellei
• 来源期刊: 传染病进展(英文)
• 学科: 医学
• 关键词: ACTH Hypocortisolism COVID-19 Adrenal Insufficiency Arterial Hypotension
• 年，卷（期）: 2020,（S1）
• 页码范围: 160-167
• 页数: 8页
• 分类号: R57

摘要

Neuro-endocrinological manifestations rarely are described in cases of SARS- CoV-2. We describe a case of a previously hypertensive patient who presented COVID-19 and developed refractory arterial hypotension. In the investigation, low levels of ACTH and cortisol were observed, suggesting secondary adrenal insufficiency as the cause of refractory hypotension.