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Successful treatment for a case of near-fatal secondary adrenal insufficiency / Tratamiento exitoso de una caso de insuficiencia adrenal secundaria casi fatal
Yanagawa, Y; Nishida, S; Takihata, Y; Miyawaki, H.
  • Yanagawa, Y; National Defense Medical College. Department of Traumatology and Critical Care Medicine. JP
  • Nishida, S; National Defense Medical College. Department of Traumatology and Critical Care Medicine. JP
  • Takihata, Y; National Defense Medical College. Department of Traumatology and Critical Care Medicine. JP
  • Miyawaki, H; National Defense Medical College. Department of Traumatology and Critical Care Medicine. JP
West Indian med. j ; 60(2): 225-228, Mar. 2011. ilus, tab
Article in English | LILACS | ID: lil-672757
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 ofrefractory shock in spite ofmassive infusion with a vasopressor, especially in patients with other endocrine disorders.
RESUMEN
Una mujer de treinta y seis años en shock fue hallada inconsciente unos dias después de desarrollar una infección respiratoria. Los antecedentes en su historia clinica incluian hipotiroidismo autoinmune. Su estado de shock no fue controlado por la reanimación con liquidos masiva con un vasopresor y antibióticos. Sin embargo, una infusion de 250 mg metilprednisolona habia mejorado considerablemente su estado de shock. Un examen mas detenido indicó insuficiencia adrenal aguda secundaria. La insuficiencia adrenal puede complicar otros trastornos endocrinos. En consecuencia, un médico debe considerar la posibilidad de hipoadrenocorticismo, cuando los pacientes se encuentran en estado de shock refractario a pesar de una infusion masiva con un vasopresor, especialmente en el caso pacientes con otros trastornos endocrinos.
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Full text: Available Index: LILACS (Americas) Main subject: Shock / Adrenal Insufficiency Type of study: Etiology study Limits: Adult / Female / Humans Language: English Journal: West Indian med. j Journal subject: Medicine Year: 2011 Type: Article Affiliation country: Japan Institution/Affiliation country: National Defense Medical College/JP

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Full text: Available Index: LILACS (Americas) Main subject: Shock / Adrenal Insufficiency Type of study: Etiology study Limits: Adult / Female / Humans Language: English Journal: West Indian med. j Journal subject: Medicine Year: 2011 Type: Article Affiliation country: Japan Institution/Affiliation country: National Defense Medical College/JP