INTRODUCTION: It is rare for a @entity1 to present with @entity1887 secondary to bilateral adrenal @entity3 from a malignant @entity14 . CASE PRESENTATION: An 82-year-old Japanese @entity1 presented to our hospital with high fever and malaise. He was receiving oral chemotherapy for the treatment of @entity5 with multiple @entity3 . Computed tomography showed new bilateral adrenal gland @entity3 . A rapid @entity4545 (ACTH) test showed @entity1887 . Treatment with @entity701 provided immediate symptom improvement. DISCUSSION: @entity1887 secondary to bilateral adrenal @entity3 from @entity5 is rare. A rapid ACTH test is useful to diagnose @entity1887 . CONCLUSION: The incidence of @entity1887 may be underestimated in @entity1 with multiple @entity3 . Appropriate therapy with adrenal @entity68850 supplementation may lead to a significant improvement in the @entity1 's symptoms and quality of life.

Adrenal failure due to bilateral adrenal @entity3 of XXXX : A case report.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'man'] @entity4545 :: ('5443', 'Gene') :: ['adrenocorticotropic hormone'] @entity68850 :: ('CHEBI:36699', 'Chemical') :: ['corticosteroid hormone'] @entity5 :: ('MESH:D009369', 'Disease') :: ['rectal cancer'] @entity1887 :: ('MESH:D000309', 'Disease') :: ['adrenal insufficiency', 'Adrenal insufficiency'] @entity701 :: ('MESH:D006854', 'Chemical') :: ['hydrocortisone'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal tumor'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis', 'metastases']
@entity5 :: (MESH:D009369,Disease) :: ['rectal cancer']
