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KMID : 1038120220550020302
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Clinical Endoscopy
2022 Volume.55 No. 2 p.302 ~ p.304
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Endoscopic Ultrasound-Guided Transgastric Puncture and Drainage of an Adrenal Abscess in an Immunosuppressed Patient
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Regino Carlos Andres
Gomez Jean Paul
Mosquera-Klinger Gabriel
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Abstract
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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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KEYWORD
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Abscess, Adrenal glands, Drainage, Endoscopic ultrasound-guided fine-needle aspiration, Endosonography
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