Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Jud, P; Hackl, G; Reisinger, AC; Horvath, A; Eller, P; Stadlbauer, V.
Red urine and a red herring - diagnosing rare diseases in the light of the COVID-19 pandemic.
Z Gastroenterol. 2022; 60(9):1326-1331
Doi: 10.1055/a-1659-4481
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Jud Philipp
- Stadlbauer-Köllner Vanessa
- Co-Autor*innen der Med Uni Graz
- Eller Philipp
- Hackl Gerald
- Horvath Angela
- Reisinger Alexander Christian
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- Abstract:
- BACKGROUND: The COVID-19 pandemic has occupied the time and resources of health care professionals for more than 1 year. The risk of missed diagnoses has been discussed in the medical literature, mainly for common diseases such as cancer and cardiovascular events. However, rare diseases also need appropriate attention in times of a pandemic. CASE REPORT: We report a 34-year-old woman with fever, pinprick sensation in her chest and thoracic spine, and dizziness after receiving the first dose of ChAdOx1 nCoV-19 vaccination. The patient's condition worsened with abdominal pain, red urine, and hyponatremia, needing intensive care admission. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) was diagnosed. Vaccine-induced thrombocytopenia and thrombosis were ruled out. Acute hepatic porphyria was finally diagnosed, and the patient recovered completely after treatment with hemin. CONCLUSION: Currently, the focus of physicians is on COVID-19 and associated medical problems, such as vaccine side effects. However, it is important to be vigilant for other uncommon medical emergencies in medically exceptional situations that may shift our perception.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- COVID-19 - diagnosis, prevention & control
- COVID-19 Testing - administration & dosage
- ChAdOx1 nCoV-19 - administration & dosage
- Female - administration & dosage
- Humans - administration & dosage
- Inappropriate ADH Syndrome - chemically induced, diagnosis, drug therapy
- Pandemics - prevention & control
- Rare Diseases - administration & dosage
- Find related publications in this database (Keywords)
- COVID-19
- porphyria
- rare diseases