Addison’s Disease associated with pulmonary tuberculosis – a clinical case report

• Autor(a) principal: Silva, Rui
• Data de Publicação: 2007
• Outros Autores: Marques, Mariela, Fonseca, Isabel, Ferrão, José, Saldanha, M. H.
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/1542
• topic: Doença de Addison; insuficiência suprarrenal primária; síndrome poliglandular auto-imune; tuberculose pulmonar; Addison´s disease; Primary Adrenal Insufficiency; Autoimmune Polyglandular Syndrome; Pulmonary Tuberculosis

The authors present a case, of a 67 year-old male complaining of intense asthenia, anorexia and weight loss, who had recently developed nausea, vomiting, diarrhoea and prostration. Clinically he was dehydrated and hypotensive and blood analyses revealed serious hyponatraemia, hypochloraemia and hypo-osmolality, as well as an increased erythrocyte sedimentation rate.The reason for presenting this case is the diagnostic challenge it poses and the need for emergency life-saving therapy.A revision is made in the discussion, concerning Addison’s disease in the context of the present case, as well as the unusual simultaneous tuberculosis infection, which is discussed.