A 50 year old man with advanced tuberculosis has developed signs/of severe acute adrenal insufficiency. The patient should be treated immediately with a combination of:: (A) Aldosterone and fludrocoisone, (B) Triamcinolone and dexamethasone, (C) Coisol and fludrocoisone, (D) Dexamethasone and metyrapone
Answer is C. (Ref: KDT 6/e p282) Patient should be given both mineralocoicoids as will as glucocoicoid. Max.mineralocoimid activity - Aldosterone Max. glucocoicoid activity - Dexamethasone