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A patient with refractory hypertension – is it really Cushing syndrome?

  • Marvin Wei Jie Chua
    Correspondence
    Corresponding Author: Dr. Marvin Wei Jie Chua, Endocrinology Service, Department of General Medicine, Sengkang General Hospital, 110 Sengkang East Way, Singapore 544886, Singapore
    Affiliations
    Endocrinology Service, Department of General Medicine, Sengkang General Hospital
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Published:September 01, 2022DOI:https://doi.org/10.1016/j.amjmed.2022.08.011
      The patient is a 71 year old male with no past medical history who was admitted for back pain. Investigations confirmed spondylodiscitis of the L4 and L5 vertebrae with methicillin-resistant Staphylococcus Aureus (MRSA) bacteremia. He was started on intravenous (IV) vancomycin and underwent posterior L4 – L5 decompression, following which he was started on oral rifampicin in November 2020, to be continued for one year.

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