Selected article for: "admission low grade fever and low grade fever"

Author: Álvarez-Troncoso, Jorge; Zapatero Larrauri, Miriam; Montero Vega, M. Dolores; Gil Vallano, Rebeca; Palmier Peláez, Esmeralda; Martín Rojas-Marcos, Patricia; Martín-Luengo, Fátima; Lázaro del Campo, Paula; Herrero Gil, Carmen Rosario; Trigo Esteban, Elena
Title: Case Report: COVID-19 with Bilateral Adrenal Hemorrhage
  • Cord-id: qxoezbq1
  • Document date: 2020_7_17
  • ID: qxoezbq1
    Snippet: 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 complemen
    Document: 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.

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