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A Case of Reiterative Aspiration Pneumonia caused by Isolated ACTH Deficiency Yasuhiko Kitasato 1 , Yukari Ikedou 1 , Kazuhiko Yamada 1 , Tomoaki Hoshino 1 , Hisamichi Aizawa 1 , Chizuko Inada 2 , Rumi Gouhara 2 , Yusuke Mizoguchi 2 , Reiko Toda 2 , Hiroshi Yoshida 2 1Department of Internal Medicine 1, Kurume University School of Medicine 2Department of Internal Medicine, Yame General Hospital Keyword: 誤嚥性肺炎 , ACTH単独欠損症 , 低Na血症 , aspiration pneumonia , isolated ACTH deficiency , hyponatremia pp.651-654
Published Date 2004/6/1
DOI https://doi.org/10.11477/mf.1404100322
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Summary

 A 71-year-old man was admitted to Yame General Hospital for treatment of pneumonia with high fever and dyspnea. Chest X-ray demonstrated opacity in the right middle and lower lobe. After hospital admission, he had reiterative aspiration pneumonia accompanied with hypoxia, mental disturbance, and hypotension. The brain MRI and cerebrospinal fluid findings were normal. He had hyponatremia and hypoglycemia, and his levels of serum ACTH, serum cortisol, and urinal 17-KS were under normal range. The results of other studies (e.g. ACHT tolerance tests) were compatible with a diagnosis of isolated ACTH deficiency. He rapidly recovered under oral administration of hydrocortisone. We concluded that his reiterative aspiration pneumonia was caused by isolated ACTH deficiency.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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