Publication: Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report
| creativeworkseries.issn | JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X | |
| dc.contributor.author | Chapagain, Nibedita | |
| dc.contributor.author | Adhikari, Aayam | |
| dc.contributor.author | Adhikari, Nishob | |
| dc.contributor.author | Paudel, Santosh | |
| dc.contributor.author | Mandal, Deependra | |
| dc.date.accessioned | 2025-10-26T06:32:49Z | |
| dc.date.available | 2025-10-26T06:32:49Z | |
| dc.date.issued | 2023 | |
| dc.description | Nibedita Chapagain Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Aayam Adhikari Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Nishob Adhikari Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Santosh Paudel Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Deependra Mandal Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal | |
| dc.description.abstract | Abstract Congenital Adrenal Hyperplasia is a group of autosomal recessive diseases due to deficiencies of enzymes involved in steroidogenesis. If not diagnosed and treated adequately, Congenital Adrenal Hyperplasia can lead to an acute adrenal crisis with hemodynamic collapse. Acute stressors and steroid insufficiency precipitate an adrenal crisis. The major clinical features are hypotension and volume depletion. Nonspecific symptoms such as fatigue, lack of energy, anorexia, nausea, vomiting, and abdominal pain are common. We report a case of a 3-year male previously diagnosed with congenital adrenal hyperplasia in adrenal crisis secondary to medicine noncompliance and gastroenteritis. The diagnosis was based on the clinical history and biochemical investigations. After initial resuscitation was managed; lifelong oral prednisolone and fludrocortisone were prescribed. | |
| dc.identifier | https://doi.org/10.31729/jnma.7926 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/2804 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical Association | |
| dc.subject | Adrenal insufficiency | |
| dc.subject | Gastroenteritis | |
| dc.subject | Glucocorticoids | |
| dc.title | Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report | |
| dc.type | Other | |
| dspace.entity.type | Publication | |
| local.article.type | Case Report | |
| oaire.citation.endPage | 86 | |
| oaire.citation.startPage | 84 | |
| relation.isJournalIssueOfPublication | 81217203-f2a2-4e57-b16a-959092ebdd85 | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 81217203-f2a2-4e57-b16a-959092ebdd85 | |
| relation.isJournalOfPublication | e6e146a0-0ece-4aba-aa0a-6ccfbd10a12a |