Publication date: Jul 23, 2024
Adrenal tuberculosis remains the main cause of primary adrenal insufficiency (PAI) in tuberculosis (TB)-prevalent regions. This case report details the presentation of PAI due to adrenal TB, where the etiological diagnosis involves Abdominal Computed Tomography (CT). A 37-year-old Peruvian woman with a history of TB contact displayed symptoms of adrenal insufficiency. PAI diagnosis was established, and CT imaging unveiled bilateral adrenal enlargement with calcifications. Treatment with prednisone and anti-TB therapy led to symptomatic improvement. Unfortunately, she succumbed to pneumonia after ten months of follow-up. Adrenal TB must be considered in endemic regions and in the presence of a TB history. CT serves as a valuable diagnostic tool, particularly in settings with limited resources, revealing adrenal enlargement and calcifications. In patients with PAI, epidemiological history of TB, and when a rapid biopsy is not feasible, CT proves to be a valuable diagnostic method.
| Concepts | Keywords |
|---|---|
| Old | Addison’s disease |
| Peruvian | adrenal gland neoplasms |
| Therapy | diagnostic imaging |
| Tomography | endocrine tuberculosis |
| Tuberculosis | X-ray computed tomography. |
Semantics
| Type | Source | Name |
|---|---|---|
| disease | IDO | role |
| disease | MESH | Addison’s Disease |
| disease | MESH | Tuberculosis |
| pathway | KEGG | Tuberculosis |
| disease | IDO | history |
| disease | MESH | adrenal insufficiency |
| drug | DRUGBANK | Prednisone |
| disease | MESH | pneumonia |
| drug | DRUGBANK | Pentaerythritol tetranitrate |
| disease | MESH | adrenal gland neoplasms |
| disease | MESH | endocrine tuberculosis |