Oronsky Neil, Thilagar Bennett, Ray Carolyn M, Caroen Scott, Lybeck Michelle M C, Ferry Lindsey, Voves Ronald A, Oronsky Bryan
aCFLS, San Jose, CA, USA.
bEpicentRx, Inc., San Diego, CA, USA.
Case Rep Oncol. 2017 Apr 6;10(1):325-327. doi: 10.1159/000470833. eCollection 2017 Jan-Apr.
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.
糖皮质激素与免疫抑制及神经精神并发症有关。我们描述了一例类癌患者，其患有库欣综合征（CS），因异位促肾上腺皮质激素分泌导致神经认知障碍，该患者发生了败血症，最终因家属决定停止抗生素治疗而死亡。本报告旨在说明CS患者进行临终关怀规划的重要性。
