TY - JOUR
T1 - Addison's Disease Caused by Tuberculosis
T2 - Diagnostic and Therapeutic Difficulties
AU - van Haren Noman, Sanne
AU - Visser, Hannah
AU - Muller, Alex F
AU - Limonard, Gijs Jm
N1 - Publisher Copyright:
© EFIM 2018.
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
U2 - 10.12890/2018_000911
DO - 10.12890/2018_000911
M3 - Article
C2 - 30756059
SN - 2284-2594
VL - 5
SP - 000911
JO - European journal of case reports in internal medicine
JF - European journal of case reports in internal medicine
IS - 8
ER -