A young woman with a severe bilateral pneumonia as the presenting sign of an adrenal carcinoma.
A severe bilateral, culture-negative pneumonia was diagnosed in a 22-year-old woman. Additional diagnostic procedures accidentally revealed a large adrenal carcinoma and hypercortisolism. The adrenal carcinoma was surgically removed, and she received mitotane treatment. This severe and life-threatening infection was the first sign of an immunosuppressive state as part of Cushing's syndrome due to the adrenal carcinoma.
Chamuleau
S A J
SA
Department of Internal Medicine, St Lucas Andreas Hospital, Amsterdam, the Netherlands. s.a.chamuleau@amc.uva.nl
Corssmit
E P M
EP
Pereira
A M
AM
van de Berg
B T J
BT
Siegert
C E H
CE
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D002277:Carcinoma / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D003480:Cushing Syndrome / Q000150:complications* / Q000209:etiology; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008939:Mitotane / Q000627:therapeutic use; D011014:Pneumonia / Q000175:diagnosis* / Q000209:etiology
D018931:Antineoplastic Agents, Hormonal; D008939:Mitotane