Addison’s Disease Caused by Tuberculosis: Diagnostic and Therapeutic Difficulties

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....

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Bibliographic Details
Main Authors: Sanne van Haren Noman, Hannah Visser, Alex Muller, Gijs Limonard
Format: Article
Language:English
Published: SMC MEDIA SRL 2018-06-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/911
Description
Summary: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.
ISSN:2284-2594