Multifocal Tuberculosis with Bilateral Adrenal Involvement: A Case Report

Tuberculosis can affect all endocrine glands including the hypothalamus, pituitary gland, thyroid and adrenal glands. The endocrine gland most affected by tuberculosis is the adrenal gland. The adrenal location of tuberculosis accounts for less than 2% of adrenal incidentalomas. It is the most common infectious cause of adrenal insufficiency. We report the case of a 31-year-old patient hospitalized for confirmed tuberculous spondylodiscitis. The CT scan showed a discal-vertebral damage of the dorsal- lumbar-sacral spine with epiduritis and multiple abscessed prevertebral collections and of the iliac psoas muscle, complicated by a posterior wall recession considered as a dorsolumbar and sacral pott’s disease, considering the context, associated with the discovery of deep necrotic abdominal adenopathies with bilateral involvement of the adrenals involving the body and the internal arm of the left adrenal gland and the two arms of the right adrenal gland, which are the site of hypodense collections.