[Bilateral adrenal haemorrhage during sepsis does not equal total adrenal insufficiency].
Manan Pareek, Mette Lundgren Nielsen, C Smith-Sivertsen
Abstract
Manan Pareek, Mette Lundgren Nielsen, C Smith-Sivertsen
Abstract
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.
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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.
Key concepts: Adrenal insufficiency, Adrenal function, Medicine, Sepsis, Presentation (obstetrics), Adrenal Hemorrhage, Surgery, Internal medicine