The development of cytomegalovirus-induced adrenal failure in a patient with AIDS while receiving corticosteroid therapy.
We report a case of Addisonian crisis due to cytomegalovirus (CMV) adrenalitis occurring in a patient with AIDS while receiving supraphysiological doses of steroids for the treatment of Pneumocystis carinii pneumonia. The case highlights the importance of considering the diagnosis of adrenal failure in AIDS, even in patients receiving supraphysiological doses of steroids.
Department of Infectious Diseases and Tropical Medicine, North Manchester General Hospital, Crumpsall, Manchester, UK.
F
F
Razzaq
E M
EM
Dunbar
A
A
Bonington
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000188:drug therapy; D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D000307:Adrenal Gland Diseases / Q000209:etiology* / Q000821:virology; D000328:Adult; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D011020:Pneumonia, Pneumocystis / Q000188:drug therapy
D000305:Adrenal Cortex Hormones