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Acute Adrenal Insufficiency Associated with Tuberculous Vertebral Osteomyelitis and Lymphadenopathy : Case Report
Joint Authors
Caymaz, İsmail
Algün, Ekrem
İnceçayır, Ömer
Anaforoğlu, İnan
Şiviloğlu, Çiğdem
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 51-year-old man developed anorexia, dizziness, nausea, vomiting, and weight loss.
He had orthostatic hypotension, hyponatremia, hyperkalemia, and hypocortisolemia, and the diagnosis of adrenal insufficiency was made.
Magnetic resonance imaging (MRI) showed asymmetrically enlarged adrenal glands.
Biopsy of a hypoechoic, enlarged, inguinal lymph node showed caseating granulomas.
Lumbar MRI showed vertebral body height loss and abnormal signal in L1 and L2; vertebral biopsy showed chronic, necrotic, caseating granulomatous inflammation consistent with tuberculous osteomyelitis.
Clinical improvement occurred with isoniazid, rifampicin, pyrazinamide, and corticosteroids.
The differential diagnosis of adrenal insufficiency should include tuberculosis, especially in geographic regions where tuberculosis is endemic.
American Psychological Association (APA)
Anaforoğlu, İnan& Algün, Ekrem& İnceçayır, Ömer& Şiviloğlu, Çiğdem& Caymaz, İsmail. 2012. Acute Adrenal Insufficiency Associated with Tuberculous Vertebral Osteomyelitis and Lymphadenopathy : Case Report. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-481984
Modern Language Association (MLA)
Anaforoğlu, İnan…[et al.]. Acute Adrenal Insufficiency Associated with Tuberculous Vertebral Osteomyelitis and Lymphadenopathy : Case Report. Case Reports in Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-481984
American Medical Association (AMA)
Anaforoğlu, İnan& Algün, Ekrem& İnceçayır, Ömer& Şiviloğlu, Çiğdem& Caymaz, İsmail. Acute Adrenal Insufficiency Associated with Tuberculous Vertebral Osteomyelitis and Lymphadenopathy : Case Report. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-481984
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-481984