[Fever, somnolence, vomiting, diarrhea]

Publication

[Fever, somnolence, vomiting, diarrhea]

Journal Paper/Review - Dec 4, 1990

Schotte U, Caduff R, Meyenberger Christa, Baer S, Greminger Peter

Units

Gastroenterology/Hepatology, Allgemeine Innere Medizin | Hausarztmedizin und Notfallmedizin

PubMed

2124719

Citation

Schotte U, Caduff R, Meyenberger C, Baer S, Greminger P. [Fever, somnolence, vomiting, diarrhea]. Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1990; 79:1541-4.

Type

Journal Paper/Review (English)

Journal

Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1990; 79

Publication Date

Dec 4, 1990

Issn Print

1013-2058

Pages

1541-4

Brief description/objective

A 69-year-old female was admitted because of a febrile state, somnolence, nausea and diarrhea. Addison's disease known to have developed several years earlier after adrenal tuberculosis suggested Addisonian crisis triggered by an acute infection. Therapy with steroids and substitution of electrolytes and fluid led to rapid improvement. Streptococcus bovis was identified as causative agent. The known association of this germ with cancer of the colon led to further investigation which revealed cancer of the sigmoid and incidental cancer of a salpinx. After surgical removal of both cancers, the patient has remained free of complaints under substitution of steroids.