A Case of Adrenal Tuberculosis Combined with Tuberculous Peritonitis-Induced Adrenal Crisis.
10.3904/kjm.2015.89.1.117
- Author:
In Tae SO
1
;
Hyun Ah KIM
;
Seong Yeol RYU
Author Information
1. Department of Infectious Disease, Keimyung University School of Medicine, Daegu, Korea. 121rsy@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Adrenal insufficiency;
Endocrine tuberculosis;
Addison disease
- MeSH:
Addison Disease;
Adrenal Glands;
Adrenal Insufficiency;
Adult;
Biopsy;
Diagnosis;
Emergencies;
Fever;
Humans;
Hypotension;
Sleep Stages;
Tuberculosis*;
Tuberculosis, Endocrine
- From:Korean Journal of Medicine
2015;89(1):117-121
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An adrenal crisis is a serious medical emergency. Most such crises develop in patients with Addison's disease when they are stressed. However, the clinical features of an impending adrenal crisis are nonspecific, delaying diagnosis and management. Adrenal tuberculosis is very rare among the extrapulmonary forms of tuberculosis. We herein report a case of an adrenal crisis triggered by bilateral adrenal tuberculosis. A 35-year-old man was admitted to our hospital because of drowsiness, fever, and hypotension. Abdominal computed tomography revealed bilateral adrenal enlargement, and computed tomography-guided adrenal gland biopsy allowed us to diagnose adrenal tuberculosis.
