Kyrgios stormed off the after falling 7-6 (7-5) in a tiebreaker to Steve Johnson on Tuesday night, in apparent protest against the umpiring.

The 22-year-old has since stated he was sick and injured, but that did not keep the governing body from bringing the hammer down.

Kyrgios was fined his first round prize ($27,071), as well as an additional $12,840 for unsportsmanlike conduct.

Sensationally, Kyrgios was fined and suspended 12 months ago at the same tournament for alleged tanking.

"Guys, I want to apologise to the fans in Shanghai and those that watched around the world on TV today," he said in a statement.

"I've been battling a stomach bug for 24 hours and I tried to be ready but I was really struggling on the court today which I think was pretty evident from the first point.

"My shoulder started to hurt in the practice today which didn't help either and once I lost the first set i was just not strong enough to continue because I have not eaten much in the past 24 hours.”