Successful Treatment for a Case of Near-Fatal Secondary Adrenal Insufficiency

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 a...

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Veröffentlicht in:West Indian medical journal 2011-03, Vol.60 (2), p.225-228
Hauptverfasser: YANAGAWA, Y, NISHIDA, S, TAKIHATA, Y, MIYAWAKI, H
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Sprache:eng
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Zusammenfassung: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.
ISSN:0043-3144