Endocrine emergencies in critically-ill patients: Challenges in diagnosis and management: Comment

Anterior hypopituitarism due to primary empty sella syndrome in a critically unwell patient

“…Often, it is due to a defect in the diaphragm sella alongside continuous or intermittent intracranial hypertension 8. Other risk factors include obesity, female sex and multiparous pregnancies,9 none of which this patient had.…”

“…Patients admitted to intensive care with endocrine abnormalities have a high rate of mortality and are often diagnosed late 9. In this case, the patient was initially treated for sepsis and meningoencephalitis due to the vasodilatory shock and altered mental state at first presentation, which highlights how sepsis can be misdiagnosed in patients who are in shock.…”