Volume 6, Number 2 (Scientific Journal of Hamadan University of Medical Sciences-Spring & Summer 1999)                   Sci J Hamadan Univ Med Sci 1999, 6(2): 0-0 | Back to browse issues page


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Keramat F. A case Report of Addision’s Disease Caused by Adrenal Tuberculosis. Sci J Hamadan Univ Med Sci . 1999; 6 (2)
URL: http://sjh.umsha.ac.ir/article-1-991-en.html

Abstract:   (707 Views)

Primary adernal insufficiency, the so-called Addision’d disease rarely and few cases have been reported due to tuberculosis. The case, a 55 years old man , complaining of severe malaise & anorexia, was admitted in 22 sept,1996. One week before admission, antituberculosis therapy had been started with a previous diagnosis of cervical lymphadenitis documented by pathologic examination of a suspended cervical lymph node. On the second day of hospitalization the patient became hypotension with reduced of consciousness & brady cardia.

Specific laboratory tests were reguested with suspended diagnosis of addison’s disease and hydrocortisone therapy started immediately. Hyponatremia, hyperkalemia & an early morning low level serum cortisol of 5.73 mg 100 ml was reported. On abdominal C.T. Scan bilateral adrenal enlargment with calcification & spenomegaly was reported. The patient with addison’s disease due to T.B has been treated with antituberculosis drugs plus prednisolone 7.5 mg per day  & fludrocortison 0.05 mg per day.

     
Type of Study: Case Report | Subject: Special

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