A case of cardiovascular collapse due to adrenal insufficiency

A 6 year old boy presented with cardiogenic shock following a mild gastroenteritis-like illness. He was subsequently found to have adrenal failure secondary to adrenoleucodystrophy. Despite adequate corticosteroid replacement and intensive cardiorespiratory support, progressive cardiac failure occurred and the patient died. High levels of endogenous catecholamines may be toxic to the myocardium in the absence of sufficient corticosteroid.