Abstract. 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.
【초록키워드】 C-reactive protein, tomography, ferritin, RT-PCR, ELISA, lymphopenia, Nasopharyngeal swab, Fever, Patient, COVID-19 diagnosis, Pain, reverse transcription, Admission, Adrenal, bronchopneumonia, complementary, IgG and IgM, constipation, anorexia, nausea, weakness, chills, malaise, vomiting, positive, oxyhemoglobin saturation, afebrile, polymerase chain, tested, the patient, elevated, increase in, adrenal hemorrhage, lower back, with COVID-19, 【제목키워드】 COVID-19, Adrenal, Bilateral,