Presentation

Patient admitted to the hospital after a neck abscess drainage with fatigue, dyspnea and back pain. On physical examination, he was hypertensive (TA - 180/110 mmHg) and tachycardic (110 bpm) with typical signs of Cushing syndrome: moon face, striae, hirsutism and central obesity (BMI: 37, waist circumference: 120 cm). He also had hyperkyphosis of his spine and had a five-year history of type 2 diabetes mellitus on metformin and chronic hepatitis C.

Patient Data

Age: 45 years
Gender: Male
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