PRIMARY ADRENAL INSUFFICIENCY IN HIV-IMMUNOSUPPRESSED PATIENTS CO-INFECTED WITH UROGENITAL TUBERCULOSIS: A CASE STUDY

Abstract

Adrenal tuberculosis is frequently associated with other foci of infection, especially with the pulmonary and genitourinary forms, and is rarely an isolated manifestation of the disease. Objective: To describe a case study of an HIV-positive patient with adrenal insufficiency and tuberculosis in the urinary tract. Methodology: This was a survey of secondary information in the electronic medical records of a patient immunosuppressed by the HIV virus who was admitted with severe abdominal pain, nausea, dysuria, and hyperthermia. Case study: Female, recent diagnosis of HIV, reporting abdominal pain in the right hypochondrium associated with nausea, vomiting with greenish content, febrile syndrome, jaundice, recurrent urinary tract infection, hyaline secretive cough. Immune status with viral load above the maximum limit and CD4 58. Because the laboratory result was indicated for adrenal insufficiency, by means of an adrenocorticoid hormone-ACTH stimulation test, AFB was requested in the urine, which was positive for Mycobacterium tuberculosis. Treatment regimen for tuberculosis was initiated. The patient reported considerable improvement in the first days of treatment with the therapeutic regimen. Conclusion: Koch's Bacillus enters the human body through the respiratory tract and reaches the lungs or any organ of the human body, including the urogenital tract. Early treatment, which includes avoiding close and prolonged contact with someone who is infected, is still the best way to break the chain of transmission of Mycobacterium tuberculosis.