[Bilateral adrenal haemorrhage during sepsis does not equal total adrenal insufficiency].
Bilateral adrenal haemorrhage can occur in the setting of severe clinical sepsis. The clinical presentation may be non-specific, and the degree to which adrenal haemorrhage causes adrenal insufficiency remains unclear. We describe a case of an 18-year-old male presenting with meningococcaemia. The diagnosis was confirmed by a computed tomography, and the patient was treated with antibiotics and corticosteroids. His adrenal function was initially subnormal; however, three months after discharge, he had fully recovered his adrenal function.
Akut Medicinsk Modtageafsnit, Sydvestjysk Sygehus Esbjerg, Denmark. mananpareek@dadlnet.dk
Manan
M
Pareek
Mette Lundgren
ML
Nielsen
Christian
C
Smith-Sivertsen
D000293:Adolescent; D000309:Adrenal Insufficiency / Q000175:diagnosis / Q000628:therapy; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D006854:Hydrocortisone / Q000097:blood* / Q000627:therapeutic use; D008297:Male; D008585:Meningitis, Meningococcal / Q000150:complications / Q000628:therapy; D009345:Neisseria meningitidis / Q000302:isolation & purification; D018805:Sepsis / Q000382:microbiology; D014057:Tomography, X-Ray Computed
D006854:Hydrocortisone