PMC7533597_01
Metyrapone and hydrocortisone treatments, glucose level, and office blood pressure profile.
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F1
All antidiabetic medications were suspended in the early days of hospitalization owing to the good glucose control; however, in the mid of hospitalization, we observed a persistence of symptomatic hypotension with hypoglycemia, and in suspicion of adrenal insufficiency (blood pressure 90/60 mmHg), we withdrew metyrapone and i.v. hydrocortisone 50 mg was promptly prescribed (Figure 1). Once blood pressure improved, a lower dose of metyrapone was restarted (250 mg/daily); however, after a few days, it was stopped again with maintenance of normal blood pressure and glucose levels (Figure 1).
Chest X-ray. Chest X-ray description: small peripheral hazy opacity in medium field and more evident opacities at the medium-lower fields of both lungs, especially on the left side.
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F2
Repeated chest X-rays evidenced the progression of bilateral pneumonia (Figure 2).