نوع مقاله : مروری
نویسنده
خیابان امیر کبیر. امیرکبیر 71 پلاک 34 آخرین منزل جنوبی
چکیده
کلیدواژهها
عنوان مقاله [English]
نویسنده [English]
Systemic involvement in covid-19 disease is due to the expression of angiotensin-converting enzyme 2, which is responsible for the entry of SARS-covid-2 into known cells. A 41-year-old man with no medical history presented with complaints of fever, dry cough, weakness, lethargy, craving for cold water, and decreased level of consciousness and was agitated. In the chest CT scan, a 4 mm fissure nodule and para cardiac atelectatic band were seen on the left side, and aspiration pneumonia and bronchiectasis were evident. Broad-spectrum antibiotics and tuberculosis treatment were started for the patient. Due to the decreased level of consciousness and adipic hypernatremia, an MRI of the brain was performed. He had sudden onset of polyuria for several days, and the 24-hour urine collection was 7 liters, and serum and urine osmolality were 318 mOsm/kg and 171 mOsm/kg, respectively. According to the clinical symptoms, laboratory and MRI results, and elimination of the most common causes of hypophysitis, Diabetes insipidus was diagnosed. The synchronization of diabetes insipidus with covid-19 infection and the elimination of the most common causes of hypophysitis makes us strongly believe that diabetes insipidus in our patient was due to hypophysitis caused by covid-19. After 2 weeks, the continuation of the patient's treatment was followed up, the corona symptoms improved and the electrolytes and urinary output were within normal limits.More studies with long-term follow-up of recovered Covid-19 patients are needed to better determine post-Covid-19 complications such as diabetes insipidus, clinical course, and recovery.
کلیدواژهها [English]
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