Addison’s Disease Caused by Tuberculosis: Diagnostic and Therapeutic Difficulties
  • Sanne van Haren Noman
    Department of Internal Medicine, Diakonessenhuis Utrecht, Utrecht, The Netherlands
  • Hannah Visser
    Department of Internal Medicine, Beatrixziekenhuis, Gorinchem, The Netherlands
  • Alex Muller
    Department of Internal Medicine, Diakonessenhuis Utrecht, Utrecht, The Netherlands
  • Gijs Limonard
    epartment of Pulmonary Diseases and Tuberculosis, Diakonessenhuis Utrecht, Utrecht, The Netherlands

Keywords

Tuberculosis, Addison’s disease, adrenalitis

Abstract

Objectives: To demonstrate difficulties in diagnosing and treating Addison’s disease caused by tuberculosis.
Materials and methods: We present a clinical case and review of the literature.
Results: A 62-year-old man presented with gastrointestinal symptoms, weight loss and enlarged adrenal glands. After 2 months of diagnostic tests, a working diagnosis of Addison’s disease due to extrapulmonary tuberculosis was made. Treatment was challenging due to interaction between rifampicin and steroids.
Conclusion: Our case illustrates that in non-endemic countries, extrapulmonary tuberculosis still needs to be considered as a possible cause of Addison’s disease.

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References

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    Published: 2018-06-12
    Issue: Vol 5 No 8 (view)

    How to cite:
    1.
    Haren Noman S van, Visser H, Muller A, Limonard G. Addison’s Disease Caused by Tuberculosis: Diagnostic and Therapeutic Difficulties. EJCRIM 2018;5 doi:10.12890/2018_000911.