Sharrack, N orcid.org/0000-0001-5880-1722, Baxter, CT, Paddock, M et al. (1 more author) (2020) Adrenal haemorrhage as a complication of COVID-19 infection. BMJ Case Reports, 13 (11). e239643. ISSN 1757-790X
Abstract
We report an unusual complication of COVID-19 infection in a 53-year-old Caucasian man. He presented with shortness of breath, fever and pleuritic chest pain. A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change consistent with COVID-19 (SARS-CoV-2) infection. Right adrenal haemorrhage was suspected on the CTPA which was confirmed on triple-phase abdominal CT imaging. A short Synacthen test revealed normal adrenal function. He was treated initially with an intravenous heparin infusion, which was changed to apixaban with a planned outpatient review in 3 months’ time. He made an uncomplicated recovery and was discharged. Follow-up imaging nearly 5 months later showed near complete resolution of the right adrenal haemorrhage with no CT evidence of an underlying adrenal lesion.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | infections; adrenal disorders; radiology |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM) > Biomedical Imaging Science Dept (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 07 Sep 2022 12:55 |
Last Modified: | 07 Sep 2022 12:55 |
Status: | Published |
Publisher: | BMJ |
Identification Number: | 10.1136/bcr-2020-239643 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:190695 |