Primary adrenal insufficiency and myocarditis in COVID-19 disease: a case report

Delaram Eskandari; Amir Ziaee; Abdollah Amirfarhangi Anbardan; Elahe Zeinali; Atefe Tirkan

doi:10.1186/s12902-022-01257-3

Primary adrenal insufficiency and myocarditis in COVID-19 disease: a case report

BMC Endocr Disord. 2022 Dec 31;22(1):336. doi: 10.1186/s12902-022-01257-3.

Authors

Delaram Eskandari¹, Amir Ziaee², Abdollah Amirfarhangi Anbardan², Elahe Zeinali^{2

3}, Atefe Tirkan^{2

4}

Affiliations

¹ Department of Endocrinology, Rasool Akram Medical Complex, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. [email protected].
² Department of Endocrinology, Rasool Akram Medical Complex, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
³ Department of Cardiology, Rasool Akram Medical Complex, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
⁴ Department of Internal Medicine, Rasool Akram Medical Complex, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Abstract

Background: COVID-19 has different manifestations from respiratory to GI problems, and some of them are more common, but some are rare. Reporting rare cases can significantly advance our understanding of the disease.

Case presentation: In this case, we report an 18-year-old teenage boy with chest pain and resistant hypotension following COVID-19 infection, finally diagnosed as primary adrenal insufficiency and COVID-19 myocarditis.

Conclusion: Adrenal insufficiency can be life-threatening due to its adverse effects on hemodynamic and electrolyte equilibrium. In addition, COVID-19 induced myocarditis can make the situation more complicated.

Keywords: COVID-19; Case report; Myocarditis; Primary adrenal insufficiency.

Publication types

Case Reports

MeSH terms

Addison Disease*
Adolescent
Adrenal Insufficiency* / complications
Adrenal Insufficiency* / diagnosis
COVID-19* / complications
Humans
Male
Myocarditis* / diagnosis
Myocarditis* / etiology