title: Acute adrenal insufficiency following unilateral radical nephrectomy: a case report.
abstract: Adrenal insufficiency following unilateral radical nephrectomy has not been previously described in medical literature. We present a 78-year-old male patient who experienced a difficult postoperative course with vague findings, and was ultimately diagnosed with acute adrenal insufficiency. Treatment with glucocorticoids and mineralocorticoids resulted in prompt control of the disease.
authors.affiliation: Department of Urology, Northwestern University Medical School, Chicago, Illinois, USA.
authors.forename: M H
authors.initials: MH
authors.lastname: Safir
authors.forename: N
authors.initials: N
authors.lastname: Smith
authors.forename: L
authors.initials: L
authors.lastname: Hansen
authors.forename: J M
authors.initials: JM
authors.lastname: Kozlowski
mesh_terms: D000309:Adrenal Insufficiency / Q000188:drug therapy / Q000209:etiology*; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery; D003907:Dexamethasone / Q000627:therapeutic use; D005438:Fludrocortisone / Q000627:therapeutic use; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007680:Kidney Neoplasms / Q000601:surgery; D008297:Male; D008901:Mineralocorticoids / Q000627:therapeutic use; D009392:Nephrectomy / Q000009:adverse effects*; D011183:Postoperative Complications
chemical_list: D005938:Glucocorticoids; D008901:Mineralocorticoids; D003907:Dexamethasone; D005438:Fludrocortisone; D006854:Hydrocortisone