RT Journal Article
SR Electronic
T1 Caution for Anabolic Androgenic Steroid Use: A Case Report of Multiple Organ Dysfunction Syndrome
JF Respiratory Care
FD American Association for Respiratory Care
SP e159
OP e163
DO 10.4187/respcare.02338
VO 58
IS 12
A1 Shinya Unai
A1 Joseph Miessau
A1 Pawel Karbowski
A1 Michael Baram
A1 Nicholas C Cavarocchi
A1 Hitoshi Hirose
YR 2013
UL http://rc.rcjournal.com/content/58/12/e159.abstract
AB We report a 42-year-old male amateur body builder and user of anabolic androgenic steroids, who developed ARDS, acute kidney injury, and refractory supraventricular tachycardia. He required extracorporeal membrane oxygenation, continuous veno-venous hemodialysis, and catheter ablation. We believe that long-term anabolic androgenic steroid abuse predisposed the patient to multiple organ dysfunction syndrome, from its immunomodulatory effects in an otherwise healthy patient. Anabolic androgenic steroid use should be part of the history taking process, since it may complicate diagnosis, disease progression, and prognosis.