Abstract
We report the case of acute adrenal gland failure which occurred one hour after cesarian section for the delivery of a child after 31 weeks of amenorrhoea. The clinical picture of the mother was immediately severe and was dominated by neurological features: profound coma with a bilateral Babinski's sign. The laboratory tests however only revealed severe hypoglycaemia among the classical signs of adrenal gland failure. It was extremely difficult to correct the blood glucose level without concomitant administration of corticosteroids.
MeSH terms
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Acute Disease
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Adrenal Insufficiency / complications
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Adrenal Insufficiency / diagnosis*
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Adrenal Insufficiency / drug therapy*
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Adrenal Insufficiency / metabolism
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Adult
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Aldosterone / blood
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Blood Glucose
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Cesarean Section
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Coma / diagnosis
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Coma / etiology*
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Female
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Humans
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Hydrocortisone / analogs & derivatives
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Hydrocortisone / metabolism
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Hydrocortisone / therapeutic use
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Hypoglycemia / blood
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Hypoglycemia / etiology*
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Pregnancy
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Puerperal Disorders / complications
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Puerperal Disorders / diagnosis*
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Puerperal Disorders / drug therapy*
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Puerperal Disorders / metabolism
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Reflex, Babinski
Substances
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Blood Glucose
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Aldosterone
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hydrocortisone hemisuccinate
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Hydrocortisone