A Case of Bilateral Adrenal Hemorrhage: The Exceptional Cause of Adrenal Insufficiency.
acth
bilateral adrenal haemorrhage
hydrocortisone
primary adrenal insufficiency
serum cortisol
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
accepted:
23
03
2022
entrez:
28
4
2022
pubmed:
29
4
2022
medline:
29
4
2022
Statut:
epublish
Résumé
Bilateral adrenal hemorrhage is an extremely uncommon and life-threatening condition. It is caused by multiple etiologies, including antiphospholipid syndrome, disseminated histoplasmosis, trauma, severe stress, and granulomatous disease. The authors present a unique case of a 64-year-old alcoholic male, who was admitted after fall and right hip fracture. On day seven of admission, the patient started to develop hypotension, leukocytosis, and tachycardia. CT abdomen was done, which ruled out infectious causes, however, it showed bilateral adrenal hemorrhages. Patient adrenocorticotrophic hormone (ACTH) stimulation test was positive for adrenal insufficiency and was started on hydrocortisone replacement. Our case highlights the fact that adrenal insufficiency after bilateral adrenal hemorrhage can be slow and can manifest as late as seven days and prompt therapy with steroids is warranted to avoid life-threatening adrenal insufficiency.
Identifiants
pubmed: 35481328
doi: 10.7759/cureus.23413
pmc: PMC9033516
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e23413Informations de copyright
Copyright © 2022, Khakwani et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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