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.

References

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  • Published: 2018-06-12

    Issue: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Haren Noman, S., Visser, H., Muller, A., & Limonard, G. (2018). Addison’s Disease Caused by Tuberculosis: Diagnostic and Therapeutic Difficulties. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2018_000911