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- Title
Insuficiencia adrenal por tuberculosis.
- Authors
González-Arnáiz, Elena; González-Roza, Lucía; Ramos-Bachiller, Beatriz; Ariadel-Cobo, Diana; Ballesteros-Pomar, María D.
- Abstract
BACKGROUND: Adrenal insufficiency is a generally progressive, insidious, hypofunctional disorder of the adrenal cortex. For many years, tuberculosis has been considered the leading cause of infectious adrenal insufficiency. Currently, the most frequent cause is autoimmune. Due to the non-specific symptoms of adrenal insufficiency and the low incidence of tuberculosis in non-endemic countries, the diagnosis and therefore treatment are delayed. CLINICAL CASE: A 58-year-old male patient, diagnosed with pneumonia and a parapneumonic effusion of tuberculosis, with clinical and analytical data of adrenal insufficiency. CONCLUSIONS: In non-endemic countries, extrapulmonary tuberculosis should be considered a possible cause of adrenal insufficiency. There may be an interaction between tuberculostatic drugs and corticosteroid treatment required in adrenal insufficiency. In most cases of tuberculosis-related adrenal insufficiency, adrenal function does not recover.
- Publication
Medicina Interna de Mexico, 2022, Vol 38, Issue 4, p948
- ISSN
0186-4866
- Publication type
Article
- DOI
10.24245/mim.v38i4.4478