Nagura Fukuko, Kodera Satoshi, Hayakawa Naoki, Kushida Syunichi, Kanda Junji
Department of Cardiology Asahi General Hospital Chiba Japan.
Clin Case Rep. 2017 Mar 27;5(5):630-635. doi: 10.1002/ccr3.672. eCollection 2017 May.
Congestive heart failure caused by secondary hypocortisolism is rare but clinically significant, because its appropriate treatment is effective. Severe hyponatremia with indefinite complaint resembling depression or persisting fever despite antibiotics may be important for establishing this diagnosis.
继发性皮质醇减少症所致的充血性心力衰竭虽罕见,但具有临床意义,因为恰当治疗是有效的。严重低钠血症伴有类似抑郁症的不明主诉或使用抗生素后仍持续发热,可能对确立该诊断很重要。