A Case of Disseminated Tuberculosis with Adrenal Insufficiency

Ali Al-Mamari, Abdullah Balkhair, Arunodaya Gujjar, Fatma Ben Abid, Ahmed Al-Farqani, Aisha Al- Hamadani, Rajeev Jain

Abstract


 We present the case of a 37 year-old female who had disseminated tuberculosis (TB) with bilateral adrenal involvement resulting in primary adrenal failure (Addison’s disease) with refractory hyponatraemia and possible extrapontine ‘myelinolysis’. Laboratory results were remarkable for adrenal insufficiency. A Mantoux reaction was positive with evidence of pulmonary miliary TB. The magnetic resonance imaging scan showed all the characteristic changes of adrenal TB.



Keywords


TB; Adrenal; Insufficiency; Granuloma; Case report, Oman.

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Sultan Qaboos University Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, PO Box 35, Postal Code 123, Al-Khod, Muscat, Oman

ISSN (Print edition): 2075-051X ISSN (Internet edition): 2075-0528

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