Acute Adrenal Insufficiency Associated with Taurine Poisoning Complicated by Cardiogenic Shock: A Case Report

Delamaire F1*, Bagate F1,2, Masi P1,2 and Dessap AM1,2,3

1AP-HP, Hôpitaux Universitaires Henri-Mondor, Service de Médecine Intensive Réanimation, France
2University Paris-Est Créteil, CARMAS, Créteil, F-94010, France
3University Paris-Est Créteil, INSERM, IMRB, Créteil, F-94010, France

^*Correspondance to: Flora Delamaire 

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Abstract:

Background: Consumption of energy drinks has exploded over the last twenty years. The addition of psychoactive substances such as taurine are supposed to improve physical and mental performances. Case Report: We report a case of a patient admitted to our medical ICU for a cardiogenic shock caused by acute adrenal insufficiency secondary to taurine intoxication. Corticosteroid therapy allowed norepinephrine and dobutamine withdrawal in 24 and 48 h, respectively. Conclusion: Acute adrenal insufficiency is a rare cause of cardiogenic shock. Studies suggest that taurine interacts with the corticotropic axis. Very high blood levels of taurine could induce an acute adrenal deficiency indirectly inhibiting cortisol synthesis.

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Cite the Article:

Delamaire F, Bagate F, Masi P, Dessap AM. Acute Adrenal Insufficiency Associated with Taurine Poisoning Complicated by Cardiogenic Shock: A Case Report. Ann Clin Case Rep. 2022; 7: 2353.