title: A young woman with a severe bilateral pneumonia as the presenting sign of an adrenal carcinoma.
abstract: 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.
authors: Department of Internal Medicine, St Lucas Andreas Hospital, Amsterdam, the Netherlands. s.a.chamuleau@amc.uva.nl
authors: S A J
authors: SA
authors: Chamuleau
authors: E P M
authors: EP
authors: Corssmit
authors: A M
authors: AM
authors: Pereira
authors: B T J
authors: BT
authors: van de Berg
authors: C E H
authors: CE
authors: Siegert
mesh_terms: 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
chemical_list: D018931:Antineoplastic Agents, Hormonal; D008939:Mitotane