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A case of cardiovascular collapse due to adrenal insufficiency
Author(s) -
WALKER C.,
BUTT W.
Publication year - 1988
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1988.tb00325.x
Subject(s) - medicine , cardiogenic shock , adrenal insufficiency , shock (circulatory) , corticosteroid , cardiorespiratory fitness , heart failure , cardiology , intensive care medicine , myocardial infarction
A 6 year old boy presented with cardiogenic shock following a mild gastroenteritis‐like illness. He was subsequently found to have adrenal failure secondary to adrenoleucodystrophy. Despite adequate corticosteroid replacement and intensive cardiorespiratory support, progressive cardiac failure occurred and the patient died. High levels of endogenous catecholamines may be toxic to the myocardium in the absence of sufficient corticosteroid.