Bilateral adrenal hemorrhage: An overlooked cause of hypotension

Vasopressor and Inotrope Use in Canadian Emergency Departments: Evidence Based Consensus Guidelines

“…No recommendations for the use of a particular vasopressor can be made in these patients. [108][109][110] Several studies demonstrated vasopressin insufficiency in patients with septic shock and laboratory diagnosed adrenal insufficiency; however, there are no trials demonstrating that vasopressin provides a survival advantage in this group.…”

Bilateral Adrenal Hemorrhage Secondary to Heparin Induced Thrombocytopenia in a Trauma Patient

“…The symptoms of BAH are nonspecific and variable: they include fever, confused mental status, vomiting, low blood pressure, and abdominal pain. In the case of BAH leading to acute adrenal insufficiency, a delay in diagnosis may be fatal [3,4].…”

Choque séptico puerperal por Streptococcus β-hemolítico e síndrome de Waterhouse-Friderichsen

“…Como no caso descrito, é condição infreqüentemente diagnosticada em vida, geralmente, através de tomografia computadorizada realizada por outras razões 10 . Originalmente, portanto, o diagnóstico é anatomopatológico.…”

“…A hemorragia bilateral das supra-renais não está associada exclusivamente com a SWF, mas com a estimulação adrenocortical por hormônio adrenocorticotrófico exógeno, sepse (toxinas), stress, desordens hemorrágicas e deficiências nutricionais 10 .…”