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

doi:10.15605/jafes.031.01.11

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

Faculty of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

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 serum 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.

Original language	English
Pages (from-to)	59-64
Number of pages	6
Journal	Journal of the ASEAN Federation of Endocrine Societies
Volume	31
Issue number	1
DOIs	https://doi.org/10.15605/jafes.031.01.11
Publication status	Published - May 2016

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Acute adrenal insufficiency
Addison’s disease
Serum cortisol
Tuberculosis
Urinary symptoms

Access to Document

10.15605/jafes.031.01.11

Cite this

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title = "Acute adrenal insufficiency as the primary manifestation of extrapulmonary tuberculosis: A case report",

abstract = "Acute adrenal insufficiency (AI) is a life-threatening condition. While Addison{\textquoteright}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 serum cortisol. He was diagnosed to have adrenal crisis due to Addison{\textquoteright}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.",

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author = "Herman Trianto and Nurria Betty and Laksmi Sasiarini and Rulli Rosandi and Putu Arsana and Djoko Soeatmadji and Achmad Rudijanto",

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AU - Sasiarini, Laksmi

AU - Rosandi, Rulli

AU - Arsana, Putu

AU - Soeatmadji, Djoko

AU - Rudijanto, Achmad

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AB - 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 serum 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.

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KW - Serum cortisol

KW - Tuberculosis

KW - Urinary symptoms

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Acute adrenal insufficiency as the primary manifestation of extrapulmonary tuberculosis: A case report

Abstract

UN SDGs

Keywords

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