Abstract
A young man presented with pneumocystis jiroveci pneumonia usually seen in immunocompromized individuals, and congestive heart failure due to dilated cardiomyopathy. He had been previously healthy but he self-treated his distant attacks of gouty arthritis with 40 mg prednisone/day over 7 years. Cushingoid appearance, abdominal striae, oral thrush, proximal myopathy, bilateral cataract, hyperglycaemia, hypertension, and osteoporosis were found. Premature atherosclerotic plaques were identified but none was obstructive or severe enough to account for the cardiomyopathy, which in the absence of an alternative explanation, we believe was also due the prolonged glucocorticoid administration, an unusual adverse event and an almost unprecedented cluster in a patient who had no indication to receive the drug.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: QJM : monthly journal of the Association of Physicians
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
