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Hypercortisolemia and infection. Infect Dis Clin North Am 2007 Sep;21(3):639-57, viii

Date

09/11/2007

Pubmed ID

17826616

DOI

10.1016/j.idc.2007.06.001

Scopus ID

2-s2.0-34548437448 (requires institutional sign-in at Scopus site)   49 Citations

Abstract

Hypercortisolemia is a condition involving a prolonged excess of serum levels of cortisol that can develop as a result of disregulatory abnormalities in the hypothalamic-pituitary-adrenal axis or from exogenous-source steroids. Hypercortisolemia induces a state of immunocompromise that predisposes the patient to various bacterial, viral, fungal, and parasitic infections. To ensure optimal management of hypercortisolemia, the primary clinician must be cognizant of its different causes and aware of the different infections associated with cortisol excess. In the hypercortisolemic patient, it is necessary to restore normal cortisol levels to reduce the risk of infection or to improve the control and cure of established infection.

Author List

Fareau GG, Vassilopoulou-Sellin R

Author

Gilbert G. Fareau MD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Cushing Syndrome
Humans