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Previous Volume 344:1536-1542 May 17, 2001 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 72-year-old man was admitted to the hospital because of persistent fever and hypotension.

The patient had been well until eight days earlier, when nausea and vomiting developed, with lower abdominal pain. The next day, he was admitted to another hospital with persistent nausea and vomiting; the temperature was 40°C, and the blood pressure was 100/55 mm Hg. The hematocrit was 33.5 percent, and the white-cell count was 17,600 per cubic millimeter. The amylase level was 190 U per liter. The blood pressure subsequently fell to 75/45 mm Hg. Treatment with a dopamine infusion and ceftriaxone was begun. Ultrasonographic examination . . . [Full Text of this Article]

Differential Diagnosis

Abdominal and Endocrine Findings

Adrenal Disease

Pituitary Apoplexy

            Clinical Manifestations

            Pathologic Features

Differential Diagnosis

Conclusions

Clinical Diagnoses

Dr. Ursula B. Kaiser's Diagnoses

Pathological Discussion

Anatomical Diagnoses

References

This article has been cited by other articles:

• Lecamwasam, H. S., Baboolal, H. A., Dunn, P. F. (2004). Acute Adrenal Insufficiency After Large-Dose Glucocorticoids for Spinal Cord Injury. Anesth. Analg. 99: 1813-1814 [Abstract] [Full Text]  
• Cooper, M. S., Stewart, P. M. (2003). Corticosteroid Insufficiency in Acutely Ill Patients. NEJM 348: 727-734 [Full Text]