title: Caution for anabolic androgenic steroid use: a case report of multiple organ dysfunction syndrome.
abstract: We report a 42-year-old male amateur body builder and user of anabolic androgenic steroids, who developed ARDS, acute kidney injury, and refractory supraventricular tachycardia. He required extracorporeal membrane oxygenation, continuous veno-venous hemodialysis, and catheter ablation. We believe that long-term anabolic androgenic steroid abuse predisposed the patient to multiple organ dysfunction syndrome, from its immunomodulatory effects in an otherwise healthy patient. Anabolic androgenic steroid use should be part of the history taking process, since it may complicate diagnosis, disease progression, and prognosis.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery.
authors.forename: Shinya
authors.initials: S
authors.lastname: Unai
authors.forename: Joseph
authors.initials: J
authors.lastname: Miessau
authors.forename: Pawel
authors.initials: P
authors.lastname: Karbowski
authors.forename: Michael
authors.initials: M
authors.lastname: Baram
authors.forename: Nicholas C
authors.initials: NC
authors.lastname: Cavarocchi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Hirose
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D000328:Adult; D045930:Anabolic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D000728:Androgens / Q000008:administration & dosage / Q000009:adverse effects*; D001828:Body Image; D017115:Catheter Ablation / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D024510:Muscle Development / Q000187:drug effects; D006435:Renal Dialysis / Q000379:methods*; D019966:Substance-Related Disorders / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D013617:Tachycardia, Supraventricular / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D045930:Anabolic Agents; D000728:Androgens
keywords: ARDS; acute kidney injury; anabolic androgenic steroid; extracorporeal membrane oxygenation; multiple organ dysfunction syndrome