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Unexpected outcome (positive or negative) including adverse drug reactions
CASE REPORT
Varicella causing remission of Cushing’s disease
  1. Henith Raj1,
  2. Sadishkumar Kamalanathan1,
  3. Jaya Prakash Sahoo1,
  4. Tamilarasu Kadhiravan2
  1. 1Department of Endocrinology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India
  2. 2Department of Internal Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
  1. Correspondence to Dr Sadishkumar Kamalanathan, sadishkk{at}gmail.com

Summary

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.

  • pituitary disorders
  • tropical medicine (infectious disease)

https://doi.org/10.1136/bcr-2018-225867

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    Footnotes

    • Contributors HR: conception and design, acquisition of data and drafting the article. SK: revising the article critically for important intellectual content and final approval of the version published; agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. JPS and TK: revising the article critically for important intellectual content and final approval of the version published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.