title: Autopsy findings of Addison's disease caused by systemic cytomegalovirus infection in a patient with acquired immunodeficiency syndrome.
abstract: We previously reported a case of Addison's disease associated with acquired immunodeficiency syndrome (AIDS) (Endocr J, 41:13, 1994). A 46-year-old man with hemophilia B and AIDS was diagnosed as Addison's disease. The positive cytomegalovirus (CMV) antigen in urine suggested that CMV adrenalitis may have caused the adrenal insufficiency. Despite treatment with ganciclovir, the patient died one year later. Autopsy findings revealed that the typical inclusions of CMV were seen in the lung, adrenal glands (both cortex and medulla) and small intestine. Here, we describe the subsequent clinical course and postmortem findings of this case.
authors.affiliation: First Department of Internal Medicine, University of Occupational and Environmental Health, Fukuoka.
authors.forename: A
authors.initials: A
authors.lastname: Takasawa
authors.forename: I
authors.initials: I
authors.lastname: Morimoto
authors.forename: A
authors.initials: A
authors.lastname: Wake
authors.forename: J
authors.initials: J
authors.lastname: Haratake
authors.forename: K
authors.initials: K
authors.lastname: Fujii
authors.forename: Y
authors.initials: Y
authors.lastname: Okada
authors.forename: S
authors.initials: S
authors.lastname: Oda
authors.forename: H
authors.initials: H
authors.lastname: Hashimoto
authors.forename: S
authors.initials: S
authors.lastname: Eto
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications*; D000224:Addison Disease / Q000188:drug therapy / Q000473:pathology* / Q000821:virology; D003586:Cytomegalovirus Infections / Q000150:complications*; D017809:Fatal Outcome; D015774:Ganciclovir / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D015774:Ganciclovir