Cases of refractory shock in young people are not common and they may have unusual underlying precipitants. Addison's disease is a rare endocrine condition and even rarer when it exists in combination with another autoimmune endocrine deficiency. We report a case of adrenal crisis in a young patient not known to suffer from Addison's disease. Despite prolonged resuscitation with consideration of uncommon precipitants, this patient died. We review the literature on Addison's disease and adrenal crises and discuss the relevant clinical features of this case.
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