AI Article Synopsis
- Adrenal tuberculosis is a rare cause of adrenal insufficiency in developed countries, usually stemming from tuberculosis in the lungs.
- Isolated cases can complicate diagnosis, as they may mimic primary or secondary adrenal tumors.
- A case study of a 61-year-old man showed uncertain diagnosis due to enlarged adrenal glands, leading to surgical removal and confirmation of tuberculosis through microscopic examination.
Article Abstract
Adrenal tuberculosis is relatively infrequent cause of primary adrenocortical insufficiency in developed countries. Adrenal involvement is most often the result of hematogenous spread of the pulmonary tuberculosis. Isolated adrenal tuberculosis, especially with enlargement of adrenal glands can cause diagnostic problems and requires differentiation from primary or secondary neoplastic disease. In this paper we present a case of 61-year-old man with several months history of adrenocortical insufficiency without signs of pulmonary tuberculosis. Computed tomography scan revealed asymmetrical mass-like enlargement in adrenal glands. Despite of consecutive investigations, the diagnosis remained uncertain. Because of the possibility of neoplastic process of unknown origin, the patient was qualified for surgical exploration during which both enlarged glands were removed. The diagnosis of tuberculosis was made on microscopic examination.
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