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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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:
Online Access:http://www.karger.com/Article/FullText/470833
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author Neil Oronsky
Bennett Thilagar
Carolyn M. Ray
Scott Caroen
Michelle M.C. Lybeck
Lindsey Ferry
Ronald A. Voves
Bryan Oronsky
author_facet Neil Oronsky
Bennett Thilagar
Carolyn M. Ray
Scott Caroen
Michelle M.C. Lybeck
Lindsey Ferry
Ronald A. Voves
Bryan Oronsky
author_sort Neil Oronsky
collection DOAJ
description 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.
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spelling doaj.art-b45cb627b89d408e9aaf708d70b194562022-12-21T18:30:18ZengKarger PublishersCase Reports in Oncology1662-65752017-04-0110132532710.1159/000470833470833Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case ReportNeil OronskyBennett ThilagarCarolyn M. RayScott CaroenMichelle M.C. LybeckLindsey FerryRonald A. VovesBryan OronskyGlucocorticoids 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.http://www.karger.com/Article/FullText/470833Cushing’s syndromeCarcinoid patientGlucocorticoidsACTHImmunosuppressionNeurocognitive impairmentAdvanced directives
spellingShingle Neil Oronsky
Bennett Thilagar
Carolyn M. Ray
Scott Caroen
Michelle M.C. Lybeck
Lindsey Ferry
Ronald A. Voves
Bryan Oronsky
Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case Report
Case Reports in Oncology
Cushing’s syndrome
Carcinoid patient
Glucocorticoids
ACTH
Immunosuppression
Neurocognitive impairment
Advanced directives
title Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case Report
title_full Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case Report
title_fullStr Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case Report
title_full_unstemmed Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case Report
title_short Cushing’s Syndrome, Cortisol, and Cognitive Competency: A Case Report
title_sort cushing s syndrome cortisol and cognitive competency a case report
topic Cushing’s syndrome
Carcinoid patient
Glucocorticoids
ACTH
Immunosuppression
Neurocognitive impairment
Advanced directives
url http://www.karger.com/Article/FullText/470833
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