Diagnostic Role of Tomography in Addison's Disease due to Adrenal Tuberculosis: A Case Report.

Quiroz-Aldave, J.E.; Durand-Vásquez, M.; Gamarra-Osorio, E.R.; Zavaleta-Aldave, S.E.; Zavaleta-Aldave, A.N.; Rodríguez-Reyna, J.; Quesquén-García, C.M.; Concepción-Urteaga, L.A.; Pecho-Silva, S.; Rodríguez-Hidalgo, L.A.; Paz-Ibarra, J.; Concepción-Zavaleta, M.J. · urn:issn:18715303 (2025) · DOI: 10.2174/0118715303305534240709115115

Resumen

Introduction Adrenal tuberculosis remains the main cause of primary adrenal insufficiency (PAI) in tuberculosis (TB)-prevalent regions. This case report details the presentation of PAI due to adrenal TB, where the etiological diagnosis involves Abdominal Computed Tomography (CT). Case Report A 37-year-old Peruvian woman with a history of TB contact displayed symptoms of adrenal insufficiency. PAI diagnosis was established, and CT imaging unveiled bilateral adrenal enlargement with calcifications. Treatment with prednisone and anti-TB therapy led to symptomatic improvement. Unfortunately, she succumbed to pneumonia after ten months of follow-up. Discussion Adrenal TB must be considered in endemic regions and in the presence of a TB history. CT serves as a valuable diagnostic tool, particularly in settings with limited resources, revealing adrenal enlargement and calcifications. Conclusion In patients with PAI, epidemiological history of TB, and when a rapid biopsy is not feasible, CT proves to be a valuable diagnostic method.

Instituciones: Universidad Nacional de Cajamarca