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

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Detalhes bibliográficos
Resumo: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.
Autores principais:Silva, Rui
Outros Autores:Marques, Mariela; Fonseca, Isabel; Ferrão, José; Saldanha, M. H.
Assunto:Doença de Addison insuficiência suprarrenal primária síndrome poliglandular auto-imune tuberculose pulmonar Addison´s disease Primary Adrenal Insufficiency Autoimmune Polyglandular Syndrome Pulmonary Tuberculosis
Ano:2007
País:Portugal
Tipo de documento:artigo
Instituição associada:Sociedade Portuguesa de Medicina Interna
Idioma:português
Origem:Revista Portuguesa de Medicina Interna
Descrição
Resumo: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.

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