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糖尿病性尿崩症合并心肌炎:COVID-19 感染的晚期后遗症。

Diabetes Insipidus and Concomitant Myocarditis: A Late Sequelae of COVID-19 Infection.

机构信息

University of New Mexico Health Sciences Center, Albuquerque, NM, USA.

Shifa Tameer-e-Millat University, Islamabad, Pakistan.

出版信息

J Investig Med High Impact Case Rep. 2021 Jan-Dec;9:2324709621999954. doi: 10.1177/2324709621999954.

Abstract

Severe acute respiratory syndrome coronavirus 2 causes coronavirus disease 2019 (COVID-19), which has become a global pandemic. Apart from the mild features of the disease, long-term complications involve many systems including both endocrine and cardiovascular systems. Myocarditis, secondary to COVID-19, has become a well-known complication of the disease. However, endocrine complications are generally not common, particularly isolated pituitary abnormalities. There is one other report of diabetes insipidus developing as a late sequela of COVID-19. In this article, we report a case of a young male who presented with features of myocarditis but developed diabetes insipidus on day 7 of admission as a long-term complication after recovery from COVID-19 infection. His laboratory test results at the time of developing the complication revealed a high serum sodium level and low urine osmolality. The patient recovered on administration of desmopressin and was discharged after 16 days of hospitalization.

摘要

严重急性呼吸综合征冠状病毒 2 引起的冠状病毒病 2019(COVID-19)已成为全球性大流行疾病。除了疾病的轻度特征外,长期并发症涉及许多系统,包括内分泌和心血管系统。继发于 COVID-19 的心肌炎已成为该疾病的一个众所周知的并发症。然而,内分泌并发症通常并不常见,特别是孤立性垂体异常。还有一份关于糖尿病性尿崩症作为 COVID-19 的晚期后遗症发展的报告。在本文中,我们报告了一例年轻男性,他因 COVID-19 感染康复后出现心肌炎的特征,但在入院第 7 天出现糖尿病性尿崩症作为长期并发症。他在发生并发症时的实验室检查结果显示血清钠水平高和尿渗透压低。患者在给予去氨加压素后康复,并在住院 16 天后出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b03/7952841/3adbd0e78172/10.1177_2324709621999954-fig1.jpg

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