Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case Report

Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case Report

Glucocorticoids are associated with immunosuppression and neuropsychiatric complications. We describe the case of a carcinoid patient with Cushing’s syndrome (CS) and neurocognitive impairment due to ectopic ACTH production who developed sepsis and died because of his family’s decision to withdraw a...

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Bibliographic Details
Main Authors: Neil Oronsky, Bennett Thilagar, Carolyn M. Ray, Scott Caroen, Michelle M.C. Lybeck, Lindsey Ferry, Ronald A. Voves, Bryan Oronsky
Format: Article
Language:English
Published: Karger Publishers 2017-04-01
Series:Case Reports in Oncology
Subjects:
Cushing’s syndrome
Carcinoid patient
Glucocorticoids
ACTH
Immunosuppression
Neurocognitive impairment
Advanced directives
Online Access:http://www.karger.com/Article/FullText/470833
Description
Summary:Glucocorticoids are associated with immunosuppression and neuropsychiatric complications. We describe the case of a carcinoid patient with Cushing’s syndrome (CS) and neurocognitive impairment due to ectopic ACTH production who developed sepsis and died because of his family’s decision to withdraw antibiotic treatment. This report is presented to illustrate the importance of advanced-care planning in patients with CS.
ISSN:1662-6575

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