PMC4531549_01
CT of abdomen revealed bilateral adrenal masses with central necrosis.
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Chest radiographs obtained on admission revealed normal findings, but a CT scan of the abdomen revealed bilateral adrenal masses and hepatosplenomegaly (Figure 1).
CT-guided adrenal gland biopsy shows numerous epithelioid cells and caseous necrosis consistent with tuberculosis.
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CT-guided adrenal gland biopsy was done and showed numerous epithelioid cells and caseous necrosis consistent with tuberculosis (Figure 2).
On bone marrow aspiration, mature histiocyte engulfing hematic cells is seen observed (5.0%).
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On subsequent bone marrow aspiration and biopsy, hemophagocytic histiocytes had increased in proportion (4.6%) without accompanying evidence of malignancy (Figure 3), hence HPS associated with adrenal gland tuberculosis was diagnosed.