Korean J Med.  2015 Jul;89(1):117-121. 10.3904/kjm.2015.89.1.117.

A Case of Adrenal Tuberculosis Combined with Tuberculous Peritonitis-Induced Adrenal Crisis

• So IT
• Kim HA
• Ryu SY

• KMID: 2269061
• DOI: http://doi.org/10.3904/kjm.2015.89.1.117

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.

Keyword

Adrenal insufficiency; Endocrine tuberculosis; Addison disease

MeSH Terms

Addison Disease
Adrenal Glands
Adrenal Insufficiency
Adult
Biopsy
Diagnosis
Emergencies
Fever
Humans
Hypotension
Sleep Stages
Tuberculosis*
Tuberculosis, Endocrine