current recommendations to double or triple replacement hydrocortisone dosage during times of increased stress in children with adrenal insufficiency are adequate only for simple febrile illnesses such as upper respiratory infection and streptococcal pharyngitis but could be subtherapeutic for infections such as pneumonia , meningitis and fever of undetermined origin , which imply a greater systemic involvement .
C0020268
hydrocortisone
C0001623
adrenal insufficiency