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Korean J Med > Volume 89(1); 2015 > Article
The Korean Journal of Medicine 2015;89(1): 117-121.
부신 결핵 및 결핵성 복막염에 의한 부신 피질 위기 1예
소인태, 김현아, 류성열
계명대학교 의과대학 감염내과학교실
A Case of Adrenal Tuberculosis Combined with Tuberculous Peritonitis-Induced Adrenal Crisis
In Tae So, Hyun Ah Kim, Seong-Yeol Ryu
Department of Infectious Disease, Keimyung University School of Medicine, Daegu, Korea
Corresponding Author: Seong-Yeol Ryu ,Tel: +82-53-250-7915, Fax: +82-53-250-7434, Email: 121rsy@dsmc.or.kr
Received: August 3, 2014;   Revised: October 14, 2014;   Accepted: December 24, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords: Adrenal insufficiency; Endocrine tuberculosis; Addison disease
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