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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...

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Detalles Bibliográficos
Autores principales: Oronsky, Neil, Thilagar, Bennett, Ray, Carolyn M., Caroen, Scott, Lybeck, Michelle M.C., Ferry, Lindsey, Voves, Ronald A., Oronsky, Bryan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422746/
https://www.ncbi.nlm.nih.gov/pubmed/28512418
http://dx.doi.org/10.1159/000470833
Descripción
Sumario: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.