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 |
부신 결핵 및 결핵성 복막염에 의한 부신 피질 위기 1예 |
소인태, 김현아, 류성열 |
계명대학교 의과대학 감염내과학교실 |
Correspondence:
Seong-Yeol Ryu, Tel: +82-53-250-7915, Fax: +82-53-250-7434, Email: 121rsy@dsmc.or.kr |
Received: 3 August 2014 • Revised: 14 October 2014 • Accepted: 24 December 2014 |
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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. |
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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. |
Key Words:
Adrenal insufficiency; Endocrine tuberculosis; Addison disease |
주제어:
부신기능부전; 내분비샘결핵; 애디슨병 |