Evidence map›Paper›PMID 33257399›Full record

ArticleBMJ case reports2020

Adrenal haemorrhage as a complication of COVID-19 infection.

Noor Sharrack, Conal Thomas Baxter, Michael Paddock, Elizabeth Uchegbu

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Approach to the Patient With Adrenal Hemorrhage.The Journal of clinical endocrinology and metabolism · 2023
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. COVID-19 and chronic fatigue syndrome: An endocrine perspective.Journal of clinical & translational endocrinology · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Normal Adrenal and Thyroid Function in Patients Who Survive COVID-19 Infection.The Journal of clinical endocrinology and metabolism · 2021
    Observational
  14. SARS-CoV-2 tropism: what urologists need to know.African journal of urology : the official journal of the Pan African Urological Surgeons' Association (PAUSA) · 2021
    Review
  15. COVID-19 infection: from stress-related cortisol levels to adrenal glands infarction.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Review
  16. COVID-19 and Endocrine Disorders - Emerging Links in this Puzzle.Indian journal of endocrinology and metabolism
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Noor SharrackLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, West Yorkshire, UK n.sharrack@leeds.ac.uk.
Conal Thomas BaxterDepartment of Geriatric Medicine, Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, Derbyshire, UK.
Michael PaddockMedical Imaging Department, Barnsley Hospital NHS Foundation Trust, Barnsley, South Yorkshire, UK.
Elizabeth UchegbuDepartment of Endocrinology and Metabolic Medicine, Barnsley Hospital NHS Foundation Trust, Barnsley, South Yorkshire, UK.
Barnsley Hospital NHS Foundation Trust · GBChesterfield Royal Hospital NHS Foundation Trust · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report an unusual complication of COVID-19 infection in a 53-year-old Caucasian man. He presented with shortness of breath, fever and pleuritic chest pain. A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change consistent with COVID-19 (SARS-CoV-2) infection. Right adrenal haemorrhage was suspected on the CTPA which was confirmed on triple-phase abdominal CT imaging. A short Synacthen test revealed normal adrenal function. He was treated initially with an intravenous heparin infusion, which was changed to apixaban with a planned outpatient review in 3 months' time. He made an uncomplicated recovery and was discharged. Follow-up imaging nearly 5 months later showed near complete resolution of the right adrenal haemorrhage with no CT evidence of an underlying adrenal lesion.

Indexed as

Adrenal Gland DiseasesCOVID-19HemorrhagePulmonary EmbolismAdrenal Cortex Function TestsAdrenal Gland NeoplasmsAdrenal GlandsAntithrombinsClinical DeteriorationComputed Tomography AngiographyDiagnosis, DifferentialHeparinHumansMaleMiddle AgedPyrazolesAntithrombinsapixabanHeparinPyrazolesPyridonesadrenal disordersinfectionsradiology

Identifiers

PMID33257399
PMCPMC7705581
OpenAlexW3110241668

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.