Iatrogenic Cushing’s Syndrome with Secondary Adrenal Suppression Misdiagnosed as Protease Inhibitor-Induced Lipodystrophy in an HIV Positive Patient: Case Report

We described a case of salmonellosis in a 33-year old HIV-infected patient. The patient presented oral and esophageal candidiasis, intense epigastric and retrosternal pain. During the physical examination he was hypochloraemic, acyanotic, hypohydrated, anicteric and afebrile. Admittance laboratorial tests indicated: red cells 3.6 millions/mm³; hemoglobin, 10.1 g/dL; leukocyte count, 3,000/mm³, with 1% of eosinophils, 14% of non-segmented and 53% of segmented neutrophils and 31% of lymphocytes. The blood culture was positive for Salmonella enterica subsp houtenae serogroup O:16. This is probably the first human report of bacteremia due to Salmonella enterica subsp houtenae in Brazil associated to HIV-infected patient.

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Russell Body Gastritis Associated with Helicobacter pylori Infection in an HIV-Positive Patient: Case Report and Review of the Literature

Zeitschrift für Gastroenterologie ◽

10.1055/s-2008-1027656 ◽

2009 ◽

Vol 47 (04) ◽

pp. 357-360 ◽

Cited By ~ 15

Author(s):

S Licci ◽

P Sette ◽

F Del Nonno ◽

S Ciarletti ◽

A Antinori ◽

...

Keyword(s):

Helicobacter Pylori ◽

Case Report ◽

Helicobacter Pylori Infection ◽

Positive Patient ◽

Hiv Positive ◽

Review Of The Literature ◽

Patient Case

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Concurrent thrombotic thrombocytopenic purpura and immune thrombocytopenic purpura in an HIV-positive patient: Case report and review of the literature

American Journal of Hematology ◽

10.1002/(sici)1096-8652(199601)51:1<73::aid-ajh12>3.0.co;2-c ◽

1996 ◽

Vol 51 (1) ◽

pp. 73-78 ◽

Cited By ~ 15

Author(s):

Lisa S. Yospur ◽

Nora C.J. Sun ◽

Priscilla Figueroa ◽

Yutaka Niihara

Keyword(s):

Case Report ◽

Thrombotic Thrombocytopenic Purpura ◽

Immune Thrombocytopenic Purpura ◽

Positive Patient ◽

Hiv Positive ◽

Review Of The Literature ◽

Patient Case ◽

Thrombocytopenic Purpura

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Hypothalamic-Pituitary-Adrenal Suppression and Iatrogenic Cushing's Syndrome as a Complication of Epidural Steroid Injections

Case Reports in Endocrinology ◽

10.1155/2013/617042 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Joyce Leary ◽

Arthur Swislocki

Keyword(s):

Cushing’S Syndrome ◽

Cushing's Syndrome ◽

Adrenal Suppression ◽

Steroid Injections ◽

Epidural Steroid Injections ◽

Aged Woman ◽

Middle Aged Woman ◽

Systemic Side Effects ◽

Epidural Steroid ◽

Iatrogenic Cushing’S Syndrome

Epidural steroid injections are well accepted as a treatment for radicular back pain in appropriate candidates. While overall incidence of systemic side effects has not been well established, at least five biochemically proven cases of iatrogenic Cushing's Syndrome have been reported as complications of epidural steroid treatment. We present an additional case of iatrogenic Cushing's Syndrome and adrenal suppression in a middle-aged woman who received three epidural steroid injections over a four-month period. We review this case in the context of previous cases and discuss diagnostic and management issues.

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