Refractory Arterial Hypotension in a Patient with COVID-19: Could the Hypothalamic-Pituitary-Adrenal Axis Be Involved? Case Report and Mini Review
Open Access
- 1 January 2020
- journal article
- case report
- Published by Scientific Research Publishing, Inc. in Advances in Infectious Diseases
- Vol. 10 (03), 160-167
- https://doi.org/10.4236/aid.2020.103016
Abstract
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.Keywords
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