Multiple concomitant life-threatening opportunistic infections due to uncontrolled hypercortisolism

Opportunistic infections associated with severe cortisol excess carry a high mortality rate and are most prevalent with ectopic ACTH syndrome. There are limited reports of these cases described in the literature. In this case report, we describe multiple severe life-threatening opportunistic infecti...

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Main Authors: Sarah Al Qassimi, Ahmad Nusair, Mohamad Mooty, Adnan Ajmal, Saaid Abdel-Ghani
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250922000488
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author Sarah Al Qassimi
Ahmad Nusair
Mohamad Mooty
Adnan Ajmal
Saaid Abdel-Ghani
author_facet Sarah Al Qassimi
Ahmad Nusair
Mohamad Mooty
Adnan Ajmal
Saaid Abdel-Ghani
author_sort Sarah Al Qassimi
collection DOAJ
description Opportunistic infections associated with severe cortisol excess carry a high mortality rate and are most prevalent with ectopic ACTH syndrome. There are limited reports of these cases described in the literature. In this case report, we describe multiple severe life-threatening opportunistic infections due to endogenous hypercortisolism. Our patient, against numerous expectations, survived multiple opportunistic infections including disseminated invasive aspergillosis, Cytomegalovirus endophthalmitis and Pneumocystis Jirovecii pneumonia, reinforcing the need for multidisciplinary care for patients presenting with complicated hypercortisolism.
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spelling doaj.art-dcb1fea4ba63435281669342b3873f872022-12-22T00:03:02ZengElsevierIDCases2214-25092022-01-0127e01420Multiple concomitant life-threatening opportunistic infections due to uncontrolled hypercortisolismSarah Al Qassimi0Ahmad Nusair1Mohamad Mooty2Adnan Ajmal3Saaid Abdel-Ghani4Medical Subspecialties Institute – Hospital Medicine, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates; Corresponding author.Medical Subspecialties Institute – Infectious Diseases, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesMedical Subspecialties Institute – Infectious Diseases, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesMedical Subspecialties Institute – Endocrinology, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesMedical Subspecialties Institute – Hospital Medicine, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesOpportunistic infections associated with severe cortisol excess carry a high mortality rate and are most prevalent with ectopic ACTH syndrome. There are limited reports of these cases described in the literature. In this case report, we describe multiple severe life-threatening opportunistic infections due to endogenous hypercortisolism. Our patient, against numerous expectations, survived multiple opportunistic infections including disseminated invasive aspergillosis, Cytomegalovirus endophthalmitis and Pneumocystis Jirovecii pneumonia, reinforcing the need for multidisciplinary care for patients presenting with complicated hypercortisolism.http://www.sciencedirect.com/science/article/pii/S2214250922000488Cushing’s syndromeHypercortisolismOpportunistic infectionsDisseminated aspergillosisCytomegalovirus endophthalmitisPneumocystis Jirovecii pneumonia
spellingShingle Sarah Al Qassimi
Ahmad Nusair
Mohamad Mooty
Adnan Ajmal
Saaid Abdel-Ghani
Multiple concomitant life-threatening opportunistic infections due to uncontrolled hypercortisolism
IDCases
Cushing’s syndrome
Hypercortisolism
Opportunistic infections
Disseminated aspergillosis
Cytomegalovirus endophthalmitis
Pneumocystis Jirovecii pneumonia
title Multiple concomitant life-threatening opportunistic infections due to uncontrolled hypercortisolism
title_full Multiple concomitant life-threatening opportunistic infections due to uncontrolled hypercortisolism
title_fullStr Multiple concomitant life-threatening opportunistic infections due to uncontrolled hypercortisolism
title_full_unstemmed Multiple concomitant life-threatening opportunistic infections due to uncontrolled hypercortisolism
title_short Multiple concomitant life-threatening opportunistic infections due to uncontrolled hypercortisolism
title_sort multiple concomitant life threatening opportunistic infections due to uncontrolled hypercortisolism
topic Cushing’s syndrome
Hypercortisolism
Opportunistic infections
Disseminated aspergillosis
Cytomegalovirus endophthalmitis
Pneumocystis Jirovecii pneumonia
url http://www.sciencedirect.com/science/article/pii/S2214250922000488
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