Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Endoscopic Ultrasound-Guided Transgastric Puncture and Drainage of an Adrenal Abscess in an Immunosuppressed Patient

  • Carlos Andres Regino (Internal medicine, University of Antioquia) ;
  • Jean Paul Gomez (Internal medicine, University of Antioquia) ;
  • Gabriel Mosquera-Klinger (Gastroenterology and Endoscopy Unit, Pablo Tobon Uribe Hospital)
  • Received : 2021.02.27
  • Accepted : 2021.04.19
  • Published : 2022.03.30
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Abstract

Adrenal gland infection is a clinical entity of great importance, but it is a largely unrecognized pathology. Immunosuppressed individuals are at a higher risk of presentation. Herein, we describe a young female patient, recently diagnosed with HIV, who presented with severe sepsis due to methicillin-resistant Staphylococcus aureus, associated with a left adrenal abscess. She was initially treated with antibiotics; however, due to the persistence of the systemic inflammatory response and bacteremia, endoscopic ultrasound-guided drainage was performed. This procedure was successful in resolving the clinical situation. Endoscopic ultrasound-guided adrenal gland drainage can be a safe, efficacious, and minimally invasive option for managing antibiotic-refractory adrenal abscesses in immunosuppressed patients.

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References

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