Varicella causing remission of Cushing's disease

Henith Raj; Sadishkumar Kamalanathan; Jaya Prakash Sahoo; Tamilarasu Kadhiravan

doi:10.1136/bcr-2018-225867

Varicella causing remission of Cushing's disease

BMJ Case Rep. 2018 Sep 23:2018:bcr2018225867. doi: 10.1136/bcr-2018-225867.

Authors

Henith Raj¹, Sadishkumar Kamalanathan¹, Jaya Prakash Sahoo¹, Tamilarasu Kadhiravan²

Affiliations

¹ Department of Endocrinology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India.
² Department of Internal Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Abstract

An 18-year-old male with Cushing's disease presented with generalised skin eruptions and backache. He was diagnosed with varicella infection. During the course of the illness, he developed persistent vomiting. Hormonal evaluation suggested adrenal insufficiency. MRI of brain showed features of pituitary apoplexy. Initially, he required hydrocortisone replacement. Later on his hypothalamic-pituitary-adrenal axis recovered and he is currently asymptomatic without any treatment.

Keywords: pituitary disorders; tropical medicine (infectious disease).

Publication types

Case Reports

MeSH terms

Adolescent
Chickenpox / complications*
Chickenpox / diagnosis
Humans
Male
Pituitary ACTH Hypersecretion / complications*
Pituitary ACTH Hypersecretion / diagnosis
Remission, Spontaneous