A Case of Tuberculous Addison Disease With Recurrent Nontuberculous Pericarditis

Junko Kawahara, MD, PhD; You Shinozaki, MD; Hiroyuki Takata, MD, PhD; Shouji Katsuta, MD, PhD; Takashi Kawane, MD, PhD; Yoshio Hiraiwa, MD, PhD

AACE Clinical Case Reports (Jan 2016)

A Case of Tuberculous Addison Disease With Recurrent Nontuberculous Pericarditis

Junko Kawahara, MD, PhD,
You Shinozaki, MD,
Hiroyuki Takata, MD, PhD,
Shouji Katsuta, MD, PhD,
Takashi Kawane, MD, PhD,
Yoshio Hiraiwa, MD, PhD

Affiliations

Junko Kawahara, MD, PhD: From the Division of Internal Medicine, Toyama Red Cross Hospital, Toyama-city, Toyama, Japan.; Address correspondence to Dr. Junko Kawahara, Division of Internal Medicine, Toyama Red Cross Hospital, 939-0859, 2-1-58 Ushijimahonnmachi, Toyama-city, Toyama, Japan.
You Shinozaki, MD: From the Division of Internal Medicine, Toyama Red Cross Hospital, Toyama-city, Toyama, Japan.
Hiroyuki Takata, MD, PhD: From the Division of Internal Medicine, Toyama Red Cross Hospital, Toyama-city, Toyama, Japan.
Shouji Katsuta, MD, PhD: From the Division of Internal Medicine, Toyama Red Cross Hospital, Toyama-city, Toyama, Japan.
Takashi Kawane, MD, PhD: From the Division of Internal Medicine, Toyama Red Cross Hospital, Toyama-city, Toyama, Japan.
Yoshio Hiraiwa, MD, PhD: From the Division of Internal Medicine, Toyama Red Cross Hospital, Toyama-city, Toyama, Japan.

Journal volume & issue: Vol. 2, no. 3
pp. e199 – e201

Abstract

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ABSTRACT: Objective: It is unknown if the combination of adrenal failure and acute pericarditis have a cause-effect relationship.Methods: A case report and literature review.Results: A 60-year-old man presented with acute pericarditis and adrenal failure. Bilateral adrenal swelling and a positive QuantiFERON test indicated adrenal tuberculosis. Analysis of pericardial effusion fluid indicated a nontuberculous and nonimmune etiology. Administration of stress doses of cortisol resolved the pericarditis. Antitubercular drugs were administered. One year after treatment, acute pericarditis and adrenal failure recurred following overwork. Administration of stress doses of steroid had an immediate effect on resolution of the pericarditis.Conclusion: Acute pericarditis is suspected as a symptom of adrenal failure. The recognition of this clinical presentation will help early diagnosis of adrenal failure and pericarditis.Abbreviations: ACTH = adrenocorticotropic hormone ECG = electrocardiogram

Published in AACE Clinical Case Reports

ISSN: 2376-0605 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the endocrine glands. Clinical endocrinology
Website: https://www.journals.elsevier.com/aace-clinical-case-reports

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