Acute Adrenal Insufficiency as the Primary Manifestation of Extrapulmonary Tuberculosis: A Case Report

Herman Trianto, Nurria Betty, Laksmi Sasiarini, Rulli Rosandi, Putu Arsana, Djoko Soeatmadji, Achmad Rudijanto
2016 Journal of the ASEAN Federation of Endocrine Societies  
Acute adrenal insufficiency (AI) is a life-threatening condition. While Addison's disease (AD) is rare, in developing countries, tuberculosis (TB) still remains as the primary cause in 7 to 20% of cases. Urinary TB is also the third most common form of extrapulmonary disease. We report a case of 37-year-old male who presented with weakness, anorexia, weight loss, dysuria, flank pain and low grade fever. Examination revealed hypotension, hyperpigmentation, hyponatremia, hypoglycemia and low
more » ... cortisol. He was diagnosed to have adrenal crisis due to Addison's disease and extrapulmonary TB manifesting as urinary tract infection (UTI). He was treated with corticosteroids and anti-TB medications. Urologic reconstructive surgery was subsequently planned.. Key words: Addison's disease, acute adrenal insufficiency, serum cortisol, urinary symptoms, tuberculosis 59 www.asean-endocrinejournal.org ONLINE FIRST | May 26, 2016 | http://dx.
doi:10.15605/jafes.031.01.11 fatcat:ttvbl32ds5ht7ia4df7ktovp6q