Document Detail


Bilateral massive adrenal hemorrhage due to sepsis: report of two cases.
MedLine Citation:
PMID:  7699218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two cases (a 57-year-old man and an 18-year-old girl) of bilateral massive adrenal hemorrhage (BMAH) due to sepsis (Streptococcus pneumoniae and Neisseira meningitidis, respectively) are reported. At admission, the man presented with fever, severe hypotension, hyperazotemia, acidosis, normonatremia and hypocoagulability, while the girl with severe hypotension, fever, hyponatremia, and hypocoagulability. A diagnostic protocol based on a very quick method for cortisol measurement is proposed, in an attempt to reach an earlier diagnosis of BMAH during sepsis.
Authors:
A Piccioli; G Chini; M Mannelli; M Serio
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endocrinological investigation     Volume:  17     ISSN:  0391-4097     ISO Abbreviation:  J. Endocrinol. Invest.     Publication Date:  1994 Nov 
Date Detail:
Created Date:  1995-05-03     Completed Date:  1995-05-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806594     Medline TA:  J Endocrinol Invest     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  821-4     Citation Subset:  IM    
Affiliation:
Servizio di Anestesia e Rianimazione USL 10/D, Università di Firenze, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adrenal Gland Diseases / etiology*
Female
Hemorrhage / etiology*
Humans
Hydrocortisone / blood
Male
Middle Aged
Sepsis / complications*
Chemical
Reg. No./Substance:
50-23-7/Hydrocortisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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