Adrenal crisis presenting as hypoglycemic coma.

Details

Serval ID
serval:BIB_737EB27C92EF
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Adrenal crisis presenting as hypoglycemic coma.
Journal
Intensive care medicine
Author(s)
Fischer J.E., Stallmach T., Fanconi S.
ISSN
0342-4642
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
26
Number
1
Pages
105-8
Language
english
Notes
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Abstract
An 18-month-old male infant presented with hypoglycemic coma and clinical signs of bronchopneumonia. He was suspected of suffering from septic shock. The patient progressed to irreversible multiple organ failure before the diagnosis of adrenal crisis was established. Plasma levels of ACTH and cortisol remained undetectable. Renin and aldosterone were normal. An autopsy failed to demonstrate any adrenal gland cortical tissue. Immunohistochemical staining demonstrated the presence of all pituitary hormones except ACTH, establishing the diagnosis of isolated ACTH deficiency. Intensive care clinicians should consider adrenal crisis in non-diabetic children with hypoglycemia and rapid circulatory deterioration.
Keywords
Adrenal Cortex, Adrenocorticotropic Hormone, Coma, Fatal Outcome, Glucose, Humans, Hypoglycemia, Infant, Male
Pubmed
Web of science
Create date
25/01/2008 10:06
Last modification date
20/08/2019 14:31
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