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Updated: Jul 1, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Adrenal Tuberculosis Presenting as Adrenal Crisis: A Rare Presentation of Common Disease
Berhanu Kelemework Fenta1, Akberet Semere Yihdego2, Bereket Kusse Kurtaile2
1Departments of Internal Medicine, Yanet Internal Medicine Specialized Center, Hawassa, Sidama, Ethiopia.
Abstract:
We report a case of a 45-year-old man presenting with hypotension, hyponatremia, hyperkalemia, hypoglycemia and diffuse hyperpigmentation. Monitoring serum cortisol was 0.5 μg/dL, and the computerized tomography (CT) scan showed bilateral adrenal enlargement, consistent with primarily adrenal insufficiency (AI) likely due to adrenal tuberculosis (TB). There was no active pulmonary TB. This case underscores the diagnostic delay and management challenges of TB-related AI in resource-limited settings. Even today, clinicians should remain aware of AI due to TB in resource-limited settings.
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