Bilateral Neonatal Adrenal Hemorrhage Associated With Severe Maternal COVID-19 Infection
Copyright © 2021, Concepción-Zavaleta et al..
Adrenal hemorrhage is the most common cause of adrenal mass in newborns. We present a case of a full-term male, born by cesarean section due to acute fetal distress from a mother with severe coronavirus disease 2019 (COVID-19) infection. He was diagnosed with hypoxic-ischemic encephalopathy, multifactorial shock, and early neonatal sepsis. On the seventh day of hospitalization, hemoglobin dropped and thus blood transfusion was required, and abdominal ultrasound showed bilateral adrenal hemorrhage. He developed relative adrenal insufficiency without either hemodynamic instability or electrolyte imbalances. The use of parenteral corticosteroids was not required. Follow-up ultrasonography and adrenal axis laboratory examination revealed complete resolution of adrenal hemorrhage. Neonatal adrenal hemorrhage has a wide variety of clinical manifestations. Ultrasound is preferred for both initial screening and follow-up evaluation. Adrenal insufficiency occurs rarely in neonatal adrenal hemorrhage. Treatment is usually conservative. We emphasize the importance of a timely diagnosis and clinical follow-up of adrenal hemorrhage in neonates with fetal distress born from mothers with severe COVID-19.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:13 |
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| Enthalten in: |
Cureus - 13(2021), 11 vom: 17. Nov., Seite e20007 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Concepción-Zavaleta, Marcio José [VerfasserIn] |
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| Links: |
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| Themen: |
Adrenal glands |
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| Anmerkungen: |
Date Revised 07.01.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.7759/cureus.20007 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM335232612 |
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| 245 | 1 | 0 | |a Bilateral Neonatal Adrenal Hemorrhage Associated With Severe Maternal COVID-19 Infection |
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| 520 | |a Copyright © 2021, Concepción-Zavaleta et al. | ||
| 520 | |a Adrenal hemorrhage is the most common cause of adrenal mass in newborns. We present a case of a full-term male, born by cesarean section due to acute fetal distress from a mother with severe coronavirus disease 2019 (COVID-19) infection. He was diagnosed with hypoxic-ischemic encephalopathy, multifactorial shock, and early neonatal sepsis. On the seventh day of hospitalization, hemoglobin dropped and thus blood transfusion was required, and abdominal ultrasound showed bilateral adrenal hemorrhage. He developed relative adrenal insufficiency without either hemodynamic instability or electrolyte imbalances. The use of parenteral corticosteroids was not required. Follow-up ultrasonography and adrenal axis laboratory examination revealed complete resolution of adrenal hemorrhage. Neonatal adrenal hemorrhage has a wide variety of clinical manifestations. Ultrasound is preferred for both initial screening and follow-up evaluation. Adrenal insufficiency occurs rarely in neonatal adrenal hemorrhage. Treatment is usually conservative. We emphasize the importance of a timely diagnosis and clinical follow-up of adrenal hemorrhage in neonates with fetal distress born from mothers with severe COVID-19 | ||
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| 700 | 1 | |a Ildefonso-Najarro, Sofia Pilar |e verfasserin |4 aut | |
| 700 | 1 | |a Plasencia-Dueñas, Esteban |e verfasserin |4 aut | |
| 700 | 1 | |a Coronado Arroyo, Julia Cristina |e verfasserin |4 aut | |
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| 700 | 1 | |a Concepción-Urteaga, Luis |e verfasserin |4 aut | |
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