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A Camouflaged Case of Disseminated Tuberculosis Presenting as Adrenal Crisis

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  • Saquib Navid Siddiqui

    (Northumbria Healthcare NHS Foundation Trust, UK)

Abstract

Lymphohematogenous spread of mycobacterium tuberculosis to multiple organs presents a complex diagnostic challenge to any physician. A holistic and vigilant approach is required in the quest to diagnose disseminated tuberculosis causing adrenal failure. Although tuberculosis can affect various endocrine glands of the body yet adrenal remains the most common.[1] It is also the fifth most common site for extra-pulmonary tuberculosis.[2] The incidence of tuberculous Addison’s disease has lowered courtesy of anti-tubercular medications accounting for only 7-20% of cases.[1] Here we showcase a rare incidence where a 39 years old gentleman with no constitutional symptoms and no known co-morbidities presenting with neck pain went into adrenal crisis and eventually was found to be due to disseminated tuberculosis which affected his lungs, adrenal glands, cervical spine, and brain.

Suggested Citation

  • Saquib Navid Siddiqui, 2021. "A Camouflaged Case of Disseminated Tuberculosis Presenting as Adrenal Crisis," European Journal of Medical and Health Sciences, European Open Science, vol. 3(3), pages 12-15, May.
    • Handle: RePEc:epw:ejmed0:v:3:y:2021:i:3:id:40819
    DOI: 10.24018/ejmed.2021.3.3.819
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