We report the case of a 9-year-old female associated with multiple pituitary deficits who tested positive for SARS-CoV-2. Her problem began 2 years earlier, with polyuria, polydipsia (she drank almost 8 litres of water/day) and growth delay.
Examination
Brain magnetic resonance imaging revealed a suprasellar mass compatible with germinoma. This hypothesis was confirmed by high levels of alfa-fetoprotein and human chorionic gonadotropin (hCG) in plasma and cerebrospinal fluid (CFS). Based on alfa-fetoprotein and hCG levels, the tumour was classified as a non-germinomatous germ cell tumour (NGGCT). Ophthalmologic evaluation and a study of visual fields were normal. At the time of diagnosis, blood exams tests confirmed a multiple pituitary deficit with diabetes insipidus, central hypothyroidism, hypocortisolism, growth hormone deficiency and mild hyperprolactinemia.
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