Endocrine Abstracts

Case history: We present the case of a 51-year-old female of South-East Asian origin presenting with a four-day history of feeling progressively unwell with vomiting, reduced oral intake and urinary symptoms. Her past medical history was T2D (HbA1c 98 mmol/mol March 2018). Drug history on admission was Metformin 500 mg twice daily, Gliclazide 160 mg twice daily, Ramipril 1.25 mg once daily and Dapagliflozin 10 mg once daily. The initiation date of Dapagliflozin and Ramipril co...

A 54-year-old man was admitted to hospital with a new diagnosis of Miliary Pulmonary Tuberculosis (TB). Early in admission he developed septic shock with multiorgan failure requiring organ support and anti-TB medications. Recovery was complicated by persistently low Glasgow coma score (GCS), noradrenaline dependency and limb threatening microvascular injury. At day-25 he was apyrexial but remained hypotensive and drowsy with no evidence of sepsis or hypoadrenalism. Over the ne...