[Bilateral adrenal haemorrhage during sepsis does not equal total adrenal insufficiency].

Ugeskr Laeger

Akut Medicinsk Modtageafsnit, Sydvestjysk Sygehus Esbjerg, Denmark.

Published: May 2012

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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