TUBERCULOUS ADRENAL ABSCESS ASSOCIATED WITH TUBERCULOSIS OF THE LUNGS AND BRAIN: A CASE REPORT

Authors

  • Phuvitoo SUNGTONG Division of Radiology Hatyai Hospital

Abstract

Tuberculous adrenal abscess was diagnosed in a 46-year-old man who presented with fever, abdominal pain, and weight loss. Ultrasonography revealed a well-marginated right suprarenal mass with internal hypoechoic areas. By CT scan, it showed thin rim enhancement with multiple septal enhancement and central hypodense areas. Tuberculous adrenal abscess was diagnosed by isolation of tuberculous bacilli from the lesion under CT guidance. He also had evidence of miliary pulmonary tuberculosis from chest radiograph and intracranial tuberculosis from CT scan of the brain.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Harisinghani MG, Mclound TC, Shepard JO, Ko JP, Shroff MM, Mueller PR. Scientific exhibit Tuberculosis from head to toe. Radiographics 2002; 20 :449-470.

Leung AN. Pulmonary tuberculosis: The essential. Radiology 1999; 210: 307-322.

Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH. Education exhibit The Thoracic sequelae and complications of tuberculosis. Radiographics 2001; 21 : 839-858.

Bass JR, Farer LS, Hopewell PC, Jacobs RF, Snider DE. Diagnostic standards and classification of tubeerculosis. Am Rev Respi dis 1990; 142 : 725-735.

Miller WT, MacGregor RR. Tuberculosis: frequency of unusual radiographic findings. AJR 1978; 130 : 867-875.

Geppert EF, Leff A. The pathogenesis of pulmonary and miliary tuberculosis. Arch Intern Med 1979; 139 : 1381-1383.

Roche CJ, O’Keeffe DP, Duddalwar VA, Torreggiani WC. Selections from the Bufflet of food signs in Radiology. Radiographics 2002; 22 : 1369-1384.

Reed JC. Chest radiology Plain films patterns and differential diagnoses. 3rd ed. St Louis, MO: Mosby- Year book. 1991.

Engin G, Acunas B, Acunas G, Tunaci M. Scientific exhibit Imaging of extrapulmonary tuberculosis. Radiographics 2000; 20: 471- 488.

Gee GT, Bazan C, Jinkins R. Miliary tuberculosis involving the brain: MR findings. AJR Am J Roentgenol 1992; 159 : 1075-1076.

Jinkins JR, Gupta R, Chang KH, Rodriguez -Carbajal J. MR imaging of central nervous system tuberculosis. Radiol Clin North Am 1995; 33 : 771-786.

Kawashima A, Sandler CM, Fishman EK, Charnsangavej C, Yasumori K, Honda H, et al. Spectrum of CT findings in nonmalignant diseases of the adrenal gland. Radiographics 1998; 18 : 393-412.

Mayo-Smith WW, Boland GW, Noto RB, Lee M. Satate-of-the-art adrenal imaging. Radiographics 2001; 21 : 995-1012.

Wilms GE, Baert AL, Kint EJ, Pringot JH, Gooddeeris PG. Computed tomographic findings in bilateral adrenal tuberculosis. Radiology 1983; 146 : 729-730.

Wilson DA, Muchmore HG, Tisdal RG, Fahmy A, Pitha JV. Histoplasmosis of the adrenal glands studies by CT. Radiology 1984; 150 : 779-783.

O’ Brien WM, Choyke PL, Copeland J, Klappenbach RS, Lynch JH. Computed tomography of adrenal abscess. J Comput Assist Tomogr 1987; 11 : 550-551.

Atkinson GO, Kodroff MB, Gay BB, Rickette RR. Adrenal abscess in the neonate. Radiology 1985; 155: 101-104.

Williams GH, Dluhy RC. Disorders of the adrenal cortex. In : Braunwald E, ed. Harrison’s principles of internal medicine. 15" ed. New York. MacGraw-Hill Profesional; 2001: 2084-2105.

Ten S, New M, Maclaren N. Clinical Review 130: Addison’s disease 2001. Journal of Clinical Endocrinology & Metabolism 2001; 86(7): 2909-2922.

Downloads

Published

2023-04-19

How to Cite

1.
SUNGTONG P. TUBERCULOUS ADRENAL ABSCESS ASSOCIATED WITH TUBERCULOSIS OF THE LUNGS AND BRAIN: A CASE REPORT. ASEAN J Radiol [Internet]. 2023 Apr. 19 [cited 2024 May 17];10(2):155-62. Available from: https://www.asean-journal-radiology.org/index.php/ajr/article/view/704

Issue

Section

Original Article