PMC6346831_01
CT scan of the abdomen with enlarged adrenal glands (frontal view)
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CT scan showed bilateral enlargement of the adrenal glands (Fig. 1) and cervical, thoracic and abdominal lymphadenopathy. Cortisol levels indicated primary adrenocortical failure (basal cortisol 62 nmol/l, ACTH 72 nmol/l) and hydrocortisone and fludrocortisone were started.
Acid-fast bacillus in the first adrenal biopsy specimen after auramine staining
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Auramine staining of the first specimen revealed acid-fast bacteria, the microscopic features consistent with M. tuberculosis bacilli (Fig. 2).