# Beyond Gastroenteritis: A Case of Salmonella Infection Leading to Adrenal Insufficiency

## TL;DR

A rare case of adrenal insufficiency caused by a Salmonella infection in a healthy young man is reported, emphasizing the need for early diagnosis.

## Contribution

This case report highlights an uncommon cause of adrenal insufficiency in an immunocompetent individual.

## Key findings

- A 20-year-old male developed bilateral adrenal abscesses from Salmonella Saintpaul infection.
- Adrenal insufficiency occurred secondary to disseminated Salmonella infection.
- The case underscores the importance of considering adrenal involvement in septic patients with unexplained symptoms.

## Abstract

Primary adrenal insufficiency (PAI), or Addison’s disease, is a rare and potentially life-threatening condition that requires prompt diagnosis and management. While most cases are autoimmune, other causes include infections such as Salmonella, though this is rarely reported. We describe a case of bilateral adrenal abscesses and adrenal insufficiency secondary to disseminated Salmonella Saintpaul infection in a previously healthy 20-year-old male following travel to Thailand. This case highlights the importance of early recognition of adrenal involvement in septic patients with persistent fever and electrolyte imbalances, even in immunocompetent individuals.