Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency
Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) outbreak originated in Wuhan (China) rapidly turned into a pandemic. Due to a national compulsive decree of quarantine, office visits for chronic disease control were delay. Hypopituitarism includes all clinical conditions that...
| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Inglés |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/29997 |
| Aporte de: |
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I10-R327-article-29997 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Inglés |
| format |
Artículo revista |
| topic |
hypopituitarism covid-19 telemedicine hydrocortisone corticoides insuficiencia hipofisaria coronavirus telemedicina insuficiência pituitária; coronavirus; telemedicina; corticosteróides |
| spellingShingle |
hypopituitarism covid-19 telemedicine hydrocortisone corticoides insuficiencia hipofisaria coronavirus telemedicina insuficiência pituitária; coronavirus; telemedicina; corticosteróides Fux Otta, Carolina Moreno, Laura Vitaloni, Roberto Iraci, Gabriel S Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency |
| topic_facet |
hypopituitarism covid-19 telemedicine hydrocortisone corticoides insuficiencia hipofisaria coronavirus telemedicina insuficiência pituitária; coronavirus; telemedicina; corticosteróides |
| author |
Fux Otta, Carolina Moreno, Laura Vitaloni, Roberto Iraci, Gabriel S |
| author_facet |
Fux Otta, Carolina Moreno, Laura Vitaloni, Roberto Iraci, Gabriel S |
| author_sort |
Fux Otta, Carolina |
| title |
Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency |
| title_short |
Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency |
| title_full |
Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency |
| title_fullStr |
Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency |
| title_full_unstemmed |
Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency |
| title_sort |
favorable outcome of sars-cov-2 infection in a patient with pituitary insufficiency |
| description |
Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) outbreak originated in Wuhan (China) rapidly turned into a pandemic. Due to a national compulsive decree of quarantine, office visits for chronic disease control were delay.
Hypopituitarism includes all clinical conditions that result in partial or complete failure of the pituitary gland's ability to secrete hormones. Pituitary insufficiency per se has been associated with an increase in both morbidity and mortality, particularly due to cardiovascular disease, which is an important risk factor for COVID-19 disease severity.
Objective: To report the first case of SARS-CoV-2 infection in a patient with hypopituitarism, discuss the implications of the treatments the patient was taking and grade up the value of telemedicine in the present scenario.
Methods: Report of the clinical record of a patient with hypopituitarism and infection with SARS-CoV-2.
Results: During the span of the infection, the patient remained on the same hormonal therapeutic scheme (thyroid, gonadal and adrenal axis). The dose of hydrocortisone was not changed during the course of the infection as she was asymptomatic. We use telemedicine to control and advise her on the treatment.
Conclusion: Health care professionals should carefully follow up on the evolution of patients with hypopituitarism to provide them a safer outcome. The use of telemedicine as a methodology for selected patients acquires relevance in the present epidemiological context. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/29997 |
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I10-R327-article-299972021-07-15T20:12:32Z Favorable outcome of SARS-CoV-2 infection in a patient with pituitary insufficiency Evolución favorable de la infección por SARS-CoV-2 en una paciente con insuficiencia hipofisaria Curso favorável de infecção por SARS-CoV-2 em paciente com insuficiência hipofisária Fux Otta, Carolina Moreno, Laura Vitaloni, Roberto Iraci, Gabriel S hypopituitarism covid-19 telemedicine hydrocortisone corticoides insuficiencia hipofisaria coronavirus telemedicina insuficiência pituitária; coronavirus; telemedicina; corticosteróides Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) outbreak originated in Wuhan (China) rapidly turned into a pandemic. Due to a national compulsive decree of quarantine, office visits for chronic disease control were delay. Hypopituitarism includes all clinical conditions that result in partial or complete failure of the pituitary gland's ability to secrete hormones. Pituitary insufficiency per se has been associated with an increase in both morbidity and mortality, particularly due to cardiovascular disease, which is an important risk factor for COVID-19 disease severity. Objective: To report the first case of SARS-CoV-2 infection in a patient with hypopituitarism, discuss the implications of the treatments the patient was taking and grade up the value of telemedicine in the present scenario. Methods: Report of the clinical record of a patient with hypopituitarism and infection with SARS-CoV-2. Results: During the span of the infection, the patient remained on the same hormonal therapeutic scheme (thyroid, gonadal and adrenal axis). The dose of hydrocortisone was not changed during the course of the infection as she was asymptomatic. We use telemedicine to control and advise her on the treatment. Conclusion: Health care professionals should carefully follow up on the evolution of patients with hypopituitarism to provide them a safer outcome. The use of telemedicine as a methodology for selected patients acquires relevance in the present epidemiological context. Introducción: El nuevo coronavirus 2 del Síndrome Respiratorio Agudo Grave (SARS-CoV-2), la cepa viral que está causando la enfermedad pandémica conocida como COVID-19, está generando un desafío sin precedentes para los sistemas de salud de todo el mundo. Dicho escenario puede favorecer el deterioro de las patologías crónicas por la dificultad en el acceso al sistema sanitario. El hipopituitarismo es una condición clínica que se asocia a comorbilidades desfavorables en la evolución de la infección por coronavirus. Objetivo: reportar el primer caso de infección por SARS-CoV-2 en una paciente con hipopituitarismo. Métodos: se describe el primer caso de una mujer con insuficiencia hipofisaria e infección por SARS-CoV-2. Se destaca el aporte de la telemedicina como estrategia para seguir al paciente en forma remota. Resultados: la paciente permaneció con el mismo esquema de terapia de reemplazo hormonal (eje tiroideo, gonadal y adrenal). Se implementó la telemedicina para asesorar sobre la adaptación del tratamiento. Debido a que cursó el proceso infeccioso en forma asintomática no se modificó la dosis de hidrocortisona, evidenciando una evolución favorable. Conclusiones: los profesionales de la salud deben permanecer atentos y vigilar la evolución de los pacientes con insuficiencia hipofisaria e infección por SARS-CoV-2. El uso de la telemedicina, en pacientes seleccionados, se jerarquiza en el contexto epidemiológico actual. Introdução: O novo coronavírus 2 da Síndrome Respiratória Aguda Grave (SARS-CoV-2), a cepa viral que está causando a doença pandêmica conhecida como COVID-19, está criando um desafio sem precedentes para os sistemas de saúde em todo o mundo. Esse cenário pode favorecer o agravamento das patologias crônicas devido à dificuldade de acesso ao sistema de saúde. O hipopituitarismo é uma condição clínica associada a comorbidades desfavoráveis na evolução da infecção por coronavírus. Objetivo: relatar o primeiro caso de infecção por SARS-CoV-2 em paciente com hipopituitarismo. Métodos: é descrito o primeiro caso de uma mulher com insuficiência hipofisária e infecção por SARS-CoV-2. A contribuição da telemedicina é destacada como estratégia para acompanhar o paciente à distância. Resultados: a paciente permaneceu com o mesmo esquema de terapia de reposição hormonal (eixo tireoidiano, gonadal e adrenal). A telemedicina foi implantada para orientar sobre a adaptação do tratamento. Devido ao processo infeccioso assintomático, a dose de hidrocortisona não foi modificada, apresentando evolução favorável. Conclusões: os profissionais de saúde devem permanecer vigilantes e acompanhar a evolução dos pacientes com insuficiência hipofisária e infecção por SARS-CoV-2. O uso da telemedicina, em pacientes selecionados, é hierárquico no contexto epidemiológico atual. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-12-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/29997 10.31053/1853.0605.v77.n4.29997 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 77 No. 4 (2020); 363-366 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 77 Núm. 4 (2020); 363-366 Revista da Faculdade de Ciências Médicas de Córdoba; v. 77 n. 4 (2020); 363-366 1853-0605 0014-6722 10.31053/1853.0605.v77.n4 eng https://revistas.unc.edu.ar/index.php/med/article/view/29997/32431 https://revistas.unc.edu.ar/index.php/med/article/view/29997/32500 Derechos de autor 2020 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |