title: Successfully treated unusual case of primary adrenal and spinal tuberculosis with three years follow up.
abstract: The global increase in incidence of Tuberculosis (TB) is returning to be a major health issue grabbing a universal concern. Although extrapulmonary tuberculosis (EPTB) has a broad spectrum of clinical manifestations, primary involvement of the adrenal glands along with spine without pulmonary affection has been rarely reported. We report a case of successfully treated adult Asian male patient presented with primary adrenal TB, complicated with chronic adrenal insufficiency accompanied with upper lumber spinal TB. We also present the follow up of our patient after three years.
authors.affiliation: Department of Imaging and Interventional Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
authors.forename: Biswas
authors.initials: B
authors.lastname: Shrestha
authors.affiliation: Department of Imaging and Interventional Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China ; Department of Pediatrics and Neonatology, Suez Canal University, Ismailia, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Omran
authors.affiliation: Department of Imaging and Interventional Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
authors.forename: Pengfei
authors.initials: P
authors.lastname: Rong
authors.affiliation: Department of Imaging and Interventional Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
mesh_terms: D000307:Adrenal Gland Diseases / Q000188:drug therapy*; D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011239:Prednisolone / Q000008:administration & dosage*; D012074:Remission Induction; D016896:Treatment Outcome; D014376:Tuberculosis / Q000188:drug therapy*; D014399:Tuberculosis, Spinal / Q000188:drug therapy*; D025101:Vitamin B 6 / Q000008:administration & dosage
chemical_list: D000995:Antitubercular Agents; D025101:Vitamin B 6; D011239:Prednisolone
keywords: Adrenal insufficiency; adrenal tuberculosis; follow up; spinal tuberculosis