@article {Sharracke239643, author = {Noor Sharrack and Conal Thomas Baxter and Michael Paddock and Elizabeth Uchegbu}, title = {Adrenal haemorrhage as a complication of COVID-19 infection}, volume = {13}, number = {11}, elocation-id = {e239643}, year = {2020}, doi = {10.1136/bcr-2020-239643}, publisher = {BMJ Specialist Journals}, 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{\textquoteright} 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.}, URL = {https://casereports.bmj.com/content/13/11/e239643}, eprint = {https://casereports.bmj.com/content/13/11/e239643.full.pdf}, journal = {BMJ Case Reports CP} }