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Diagnostic Role of Tomography in Addison's Disease due to Adrenal Tuberculosis: A Case Report
Juan Eduardo Quiroz-Aldave1, Maria Del Carmen Durand-Vásquez1, Elman Rolando Gamarra-Osorio2
1Division of Non-communicable Diseases, Endocrinology Research Line, Hospital de Apoyo Chepén, Chepén, Perú.
Introduction:
Adrenal tuberculosis remains the main cause of primary adrenal insufficiency (PAI) in tuberculosis (TB)-prevalent regions. This case report details the presentation of PAI due to adrenal TB, where the etiological diagnosis involves Abdominal Computed Tomography (CT).
Case Report:
A 37-year-old Peruvian woman with a history of TB contact displayed symptoms of adrenal insufficiency. PAI diagnosis was established, and CT imaging unveiled bilateral adrenal enlargement with calcifications. Treatment with prednisone and anti-TB therapy led to symptomatic improvement. Unfortunately, she succumbed to pneumonia after ten months of follow-up.
Discussion:
Adrenal TB must be considered in endemic regions and in the presence of a TB history. CT serves as a valuable diagnostic tool, particularly in settings with limited resources, revealing adrenal enlargement and calcifications.
Conclusion:
In patients with PAI, epidemiological history of TB, and when a rapid biopsy is not feasible, CT proves to be a valuable diagnostic method.
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