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- Title
Successful Treatment for a Case of Near-Fatal Secondary Adrenal Insufficiency.
- Authors
Yanagawa, Y.; Nishida, S.; Takihata, Y.; Miyawaki, H.
- Abstract
A thirty-six-year old female with shock was found to be unconsciousness a few days after developing a respiratory infection. Her past medical history included autoimmune hypothyroidism. Her state of shock was not controlled by massive fluid resuscitation with a vasopressor and antibiotics. However, an infusion of 250 mg methylprednisolone dramatically improved her shock state. Further examination indicated secondary acute adrenal insufficiency. Adrenal insufficiency may complicate other endocrine disorders. Accordingly, a physician should consider hypoadrenocorticism, when patients are in a state of refractory shock in spite of massive infusion with a vasopressor, especially in patients with other endocrine disorders.
- Subjects
ADRENAL insufficiency; ADRENAL diseases; ENDOCRINE diseases; THYROID diseases; LOSS of consciousness; RESPIRATORY diseases; PATIENTS
- Publication
West Indian Medical Journal, 2011, Vol 60, Issue 2, p225
- ISSN
0043-3144
- Publication type
Case Study