These data ruled out the possibility of MAC pulmonary disease. In this subject, however, anti-MAC antibody was negative and MAC-related bacteria were not detected in PCR test using bronchial lung lavage fluid. It is known that MAC pulmonary disease accounts for the majority of non-tuberculous mycobacterial infection. These data ruled out the possibility of adrenal tuberculosis. QuantiFERON test was negative and mycobacterium tuberculosis complex was negative in PCR test using bronchial lung lavage fluid. An abdominal computed tomography (CT) showed swelling of both adrenal glands accompanied by calcification. In rapid ACTH load test (0.25 mg of 1–24 ACTH), cortisol level was not increased at all. There was pigmentation in her face, hands and legs, especially in auricle and nail beds in her hands and legs. Case presentationĪn 83-year-old female was suspected of having adrenal failure in our outpatient care and hospitalized in our institution. Mycobacterium avium complex (MAC) pulmonary disease accounts for the majority of non-tuberculous mycobacterial infection. Recently the number of subjects with non-tuberculous mycobacterial infection has been increased, and the infection can also bring about Addison’s disease. Among various infections, tuberculous infection accounts for the majority of them. It is known that infection is one of main causes of Addison’s disease. Addison’s disease is primary adrenal dysfunction and is characterized by decrease of cortisol level and increase of adrenocorticotropic hormone (ACTH) level.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |