A clinical case of development of Waterhouse-Friderichsen syndrome after SARS-CoV-2 infection in a patient with rheumatoid arthritis and secondary adrenal AA-amyloidosis
https://doi.org/10.14412/1996-7012-2023-4-86-89
Abstract
We present a clinical observation of a patient whose cause of death was a new coronavirus infection COVID-19 complicated by bilateral viral interstitial pneumonia and adult acute respiratory distress syndrome. The presence of background diseases-rheumatoid arthritis and secondary AA-adrenal amyloidosis-worsened the prognosis. Waterhouse-Friderichsen syndrome with hemorrhage and foci of necrosis in the adrenal cortex developed against a background of SARS-CoV-2 infection. The unique feature of this case is the long-term favorable course of the disease and its rapid progression after infection with SARS-CoV-2. The associated syndrome of disseminated intravascular coagulation further aggravated the patient's condition.
About the Author
O. V. Alpidovskaya
I.N. Ulyanov Chuvash State University
Russian Federation
Russian Federation
Olga V. Alpidovskaya.
15, Moskovsky prospect, Cheboksary 428015
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Review
For citations:
Alpidovskaya OV. A clinical case of development of Waterhouse-Friderichsen syndrome after SARS-CoV-2 infection in a patient with rheumatoid arthritis and secondary adrenal AA-amyloidosis. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2023;17(4):86-89. (In Russ.) https://doi.org/10.14412/1996-7012-2023-4-86-89
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