Author/Authors :
Al-Mamari, Ali Sultan Qaboos University Hospital - Departments of Medicine, Oman , Balkhair, Abdullah Sultan Qaboos University Hospital - Departments of Medicine, Oman , Gujjar, Arunodaya Sultan Qaboos University Hospital - Departments of Medicine, Oman , Ben Abid, Fatma Sultan Qaboos University Hospital - Departments of Medicine, Oman , Al-Farqani, Ahmed Royal Court Medical Team, Oman , Al-Hamadani, Aisha Sultan Qaboos University Hospital - Departments of Pathology, Oman , Jain, Rajeev Sultan Qaboos University - College of Medicine Health Sciences - Department of Radiology Molecular Imaging, Oman
Abstract :
We present the case of a 37 year-old female who had disseminated tuberculosis (TB) with bilateral adrenal involvement resulting in primary adrenal failure (Addison’s disease) with refractory hyponatraemia and possible extrapontine ‘myelinolysis’. Laboratory results were remarkable for adrenal insufficiency. A Mantoux reaction was positive with evidence of pulmonary miliary TB. The magnetic resonance imaging scan showed all the characteristic changes of adrenal TB
Keywords :
TB , Adrenal , Insufficiency , Granuloma , Case report , Oman
