title: Diagnostic and therapeutic approach in a rare case of primary bilateral adrenal tuberculosis.
abstract: Here, we report a case of a febrile patient with primary bilateral adrenalitis who was successfully treated with an antituberculous regimen. Primary isolated tubercular adrenalitis is a very rare clinical entity but it should be considered in cases of fever and enlargement of the adrenal glands. Integration of radiological pattern data with epidemiological, clinical and immunological data has high accuracy and specificity, even without histological examination.
authors.affiliation: Infectious Diseases, Santa Maria Goretti Hospital, Latina, Italy.
authors.forename: Cosmo
authors.initials: C
authors.lastname: Del Borgo
authors.affiliation: Radiology Department, Santa Maria Goretti Hospital, Latina, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Urigo
authors.affiliation: Infectious Diseases Unit, Sapienza University, Polo Pontino, Latina, Italy.
authors.forename: Raffaella
authors.initials: R
authors.lastname: Marocco
authors.affiliation: Infectious Diseases Unit, Sapienza University, Polo Pontino, Latina, Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Belvisi
authors.affiliation: Radiology Department, Santa Maria Goretti Hospital, Latina, Italy.
authors.forename: Luisa
authors.initials: L
authors.lastname: Pisani
authors.affiliation: Infectious Diseases, Santa Maria Goretti Hospital, Latina, Italy.
authors.forename: Rita
authors.initials: R
authors.lastname: Citton
authors.affiliation: Radiology Department, Santa Maria Goretti Hospital, Latina, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Cianni
authors.affiliation: Infectious Diseases, Santa Maria Goretti Hospital, Latina, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Soscia
authors.affiliation: Infectious Diseases Unit, Sapienza University, Polo Pontino, Latina, Italy.
authors.forename: Miriam
authors.initials: M
authors.lastname: Lichtner
authors.affiliation: Infectious Diseases Unit, Sapienza University, Polo Pontino, Latina, Italy.
authors.forename: Claudio Maria
authors.initials: CM
authors.lastname: Mastroianni
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D000995:Antitubercular Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014383:Tuberculosis, Endocrine / Q000175:diagnosis* / Q000188:drug therapy*
chemical_list: D000995:Antitubercular Agents