Adrenal Insufficiency and a Surprising Electrocardiogram

Clinical Image

Volume 6, Issue 11 (November Issue)

Adrenal Insufficiency and a Surprising Electrocardiogram

Sandra Oliveira-Mendes^1*, José Coelho Ribeiro¹, Inês Rangel² and Liliana Carneiro¹

¹Internal Medicine Department, Matosinhos Local Health Unit, Porto, Portugal
²Cardiology Department, Matosinhos Local Health Unit, Porto, Portugal

^*Corresponding author: Sandra Oliveira Mendes, Departamento de Medicina - Hospital Pedro Hispano, Rua de Dr. Eduardo Torres 4464-513 Sra. Da Hora, Matosinhos, Porto, Portugal. E-mail: sandra.oliveiramendes@ulsm.min-saude.pt

Received: October 14, 2024; Accepted: October 30, 2024; Published: November 15, 2024

Citation: Mendes SO, Ribeiro JC, Rangel I, et al. Adrenal Insufficiency and a Surprising Electrocardiogram. Clin Image Case Rep J. 2024; 6(11): 533.

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Abstract

A 37-year-old male with panhypopituitarism presented with severe hypoglycemia and fever due to a bacterial gastroenteritis. Hospital evaluation revealed a Brugada type 1 electrocardiographic pattern, which resolved following aggressive fever management and treatment with antibiotics and stress-dose hydrocortisone. Brugada syndrome, a hereditary channelopathy associated with ventricular arrhythmias, can be triggered by febrile states. This case underscores the importance of systematic clinical evaluation, precise ECG interpretation, and thorough history-taking in managing life-threatening conditions.