title: [A thirty-year old bodybuilder with septic shock and ARDS from abuse of anabolic steroids].
abstract: We report the case of a 30-year-old body builder who developed a gluteal abscess at the site of injection of regularly self-administered anabolic steroids. After breaking the abscess under general anaesthesia, the patient developed septic shock and fulminant adult respiratory distress syndrome (ARDS). In addition to discussing the pathogenesis, differential diagnosis, and treatment, we focus on the immunomodulatory mechanisms of anabolic substances that may have contributed to the course of the disease in this particular patient.
authors.affiliation: Klinik für Anaesthesiologie der Universität Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg. axel_herr@med.uni-heidelberg.de
authors.forename: A
authors.initials: A
authors.lastname: Herr
authors.forename: G
authors.initials: G
authors.lastname: Rehmert
authors.forename: K
authors.initials: K
authors.lastname: Kunde
authors.forename: R
authors.initials: R
authors.lastname: Gust
authors.forename: A
authors.initials: A
authors.lastname: Gries
mesh_terms: D000038:Abscess / Q000150:complications / Q000209:etiology*; D000328:Adult; D045930:Anabolic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007109:Immunity / Q000187:drug effects; D007273:Injections, Intramuscular; D008297:Male; D012128:Respiratory Distress Syndrome / Q000150:complications / Q000209:etiology* / Q000628:therapy; D012772:Shock, Septic / Q000150:complications / Q000209:etiology* / Q000628:therapy; D019966:Substance-Related Disorders / Q000150:complications*; D014891:Weight Lifting / Q000502:physiology*
chemical_list: D045930:Anabolic Agents