PMC5090084_01
CT scan showing massive right adrenal hemorrhage.
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On day 5, he developed right flank pain and another CT scan showed massive right adrenal hemorrhage (Figure 1).
Improvement in laboratory parameters upon initiation of therapeutic plasma exchange. Plasma exchange was initiated on hospital day 6 (red arrows). Methylprednisolone pulses (black arrows).
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The patient's general condition rapidly improved following initiation of plasma exchange with successful weaning of oxygen and normalization of platelet count, troponin, and serum creatinine within four days (Figure 2).