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Laparoscopic Endoscopic Surgical Science Ar COVID-19 Pnmonisinde Diabetes nsipitus [Respir Case Rep]
Respir Case Rep. 2022; 11(1): 9-12 | DOI: 10.5505/respircase.2022.30316

Ar COVID-19 Pnmonisinde Diabetes nsipitus

zge Peken1, Kezban zmen Sner2, Halil Kzlk1, Havva Kocayiit3, Ali Fuat Erdem1
1Sakarya Universitesi Tp Fakltesi, Anesteziyoloji ve Reanimasyon Anabilim Dal, Sakarya
2Sakarya niversitesi Eitim Aratrma Hastanesi, Youn Bakm nitesi, Sakarya
3Sakarya niversitesi Eitim Aratrma Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dal, Sakarya

Coronovirs 2019 (COVID-19), oklu organ yetmezlii ve lmle sonulanabilen bir solunum sistemini enfeksiyonudur. COVID-19 hastalarnda, proteinri, yksek kan re, plazma kreatinin, rik asit ve d-dimer seviye-leri bbrek disfonksiyonu olarak bildirilmitir. Krk dokuz yanda erkek hasta, COVID-19 pnmonisi ve solunum yetmezlii tanlar ile youn bakma kabul edildi. Olgunun youn bakm takibinde, elektrolit dengesizlii ve bbrek yetmezlii gelimeksizin diabetus insipitus (DI) tespit edildi. Hastann santral DI etyolojisi asndan ekilen kontrastl beyin ve hipofiz MR grntlemesi normal olarak deerlendirildi. Hastann ald tedavilerde, poliriye neden olacak ila yoktu. Kan test-lerinde elektolit dengesizlii tespit edilmedi. Hastada nefrojenik DI' a neden olabilecek baka bir bulgu ve hastalk tespit edilmedi. Bu olgu sunumu, COVID-19 enfeksiyonuna bal grlen nefrojenik DI olmas asndan litaratrdeki ilk sunumdur. Ar COVID-19 hastalar ve DI ilikisinin ortaya konulmas iin daha ok almaya ihtiya vardr.

Anahtar Kelimeler: Diabetes insiputus, COVID-19, ar pnmoni.

Diabetes Insipidus in Severe COVID-19 Pneumonia

zge Peken1, Kezban zmen Sner2, Halil Kzlk1, Havva Kocayiit3, Ali Fuat Erdem1
1Department of Anesthesiology and Reanimation, Sa-karya University Faculty of Medicine, Sakarya, Turkey
2Department of Intensive Care, Sakarya University Edu-cation and Research Hospital, Sakarya, Turkey
3Department Anesthesiology and Reanimation, Sakar-ya University Education and Research Hospital, Sakarya, Turkey

Coronavirus disease 2019 (COVID-19) usual-ly presents as a respiratory infection, and may progress to multiple organ failure and eventually death. In COVID-19 patients, kid-ney dysfunctions reported proteinuria, ele-vated markers of blood urea nitrogen, plasma creatinine, uric acids, and D-dimer. We present here the case of a 49-year-old male who was admitted to the intensive care unit (ICU) with COVID-19 pneumonia and respiratory failure. Diabetes insipidus (DI) developed during intensive care follow-up without electrolyte imbalance or kidney failure. A contrast-enhanced brain and pitu-itary MRI was performed to identify the eti-ology of the central DI, but revealed no pathological findings. The drugs used to treat our patient had no polyuria side ef-fects. No electrolyte imbalance was identi-fied from a blood test of our patient, and there were no findings of other diseases in the differential diagnosis that could lead to nephrogenic DI. We present here a case of COVID-19 infection complicated by nephrogenic diabetes insipidus, given the lack of reports in literature indicating the occurrence of diabetes insipidus alongside COVID-19 infection.

Keywords: Diabetus insiputus, COVID-19, severe pneu-monia.

zge Peken, Kezban zmen Sner, Halil Kzlk, Havva Kocayiit, Ali Fuat Erdem. Diabetes Insipidus in Severe COVID-19 Pneumonia. Respir Case Rep. 2022; 11(1): 9-12

Sorumlu Yazar: Kezban zmen Sner, Trkiye
Makale Dili: ngilizce
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