Circulatory collapse requiring mechanical circulatory support in a child with autoimmune adrenal insufficiency: a case report

被引:0
作者
Hejazi, Yahia [1 ,3 ]
Tegtmeyer, Ken [2 ,3 ]
Chlebowski, Meghan [1 ,3 ]
Gist, Katja M. [1 ,3 ]
机构
[1] Cincinnati Childrens Hosp Med Ctr, Heart Inst, Cardiac Crit Care, 3333 Burnet Ave,MLC 2003, Cincinnati, OH 45229 USA
[2] Cincinnati Childrens Hosp Med Ctr, Div Crit Care Med, 3333 Burnet Ave,MLC 2003, Cincinnati, OH 45229 USA
[3] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH 45221 USA
关键词
Circulatory shock; Autoimmune adrenal insufficiency; Extracorporeal membrane oxygenation (ECMO); DIAGNOSIS; SOCIETY;
D O I
10.1186/s12887-024-05130-1
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BackgroundWe report a rare case of new onset autoimmune adrenal insufficiency in childhood, presenting with severe shock requiring mechanical circulatory support. In the current era of readily available imaging, laboratory and other diagnostic investigations, medical history and careful physical exam can often provide valuable diagnostic information for timely therapy.Case presentationA 7-year-old boy with a history of mild intermittent asthma, presented with severe cardiogenic shock requiring extracorporeal membrane oxygenation (ECMO). Bronzing of his entire body was noted on physical exam. Stress dose hydrocortisone was given for suspected adrenal insufficiency. After weaning from ECMO and extensive rehabilitation, the patient recovered and was discharged home.ConclusionPrimary adrenal insufficiency (PAI) should be considered in the context of physical exam and laboratory findings, even in the presence of circulatory shock.
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页数:5
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