{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T20:11:33Z","timestamp":1649016693527},"reference-count":17,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>A 51-year-old man developed anorexia, dizziness, nausea, vomiting, and weight loss. He had orthostatic hypotension, hyponatremia, hyperkalemia, and hypocortisolemia, and the diagnosis of adrenal insufficiency was made. Magnetic resonance imaging (MRI) showed asymmetrically enlarged adrenal glands. Biopsy of a hypoechoic, enlarged, inguinal lymph node showed caseating granulomas. Lumbar MRI showed vertebral body height loss and abnormal signal in L1 and L2; vertebral biopsy showed chronic, necrotic, caseating granulomatous inflammation consistent with tuberculous osteomyelitis. Clinical improvement occurred with isoniazid, rifampicin, pyrazinamide, and corticosteroids. The differential diagnosis of adrenal insufficiency should include tuberculosis, especially in geographic regions where tuberculosis is endemic.<\/jats:p>","DOI":"10.1155\/2012\/574845","type":"journal-article","created":{"date-parts":[[2012,5,9]],"date-time":"2012-05-09T17:04:18Z","timestamp":1336583058000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Acute Adrenal Insufficiency Associated with Tuberculous Vertebral Osteomyelitis and Lymphadenopathy: Case Report"],"prefix":"10.1155","volume":"2012","author":[{"given":"\u0130nan","family":"Anaforo\u011flu","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Metabolism, Trabzon Numune Education and Research Hospital, 61000 Trabzon, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ekrem","family":"Alg\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Trabzon Numune Education and Research Hospital, 61000 Trabzon, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6mer","family":"\u0130nce\u00e7ay\u0131r","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Trabzon Numune Education and Research Hospital, 61000 Trabzon, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c7i\u011fdem","family":"\u015eivilo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Pathology, Trabzon Numune Education and Research Hospital, 61000 Trabzon, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0130smail","family":"Caymaz","sequence":"additional","affiliation":[{"name":"Department of Radiology, Trabzon Numune Education and Research Hospital, 61000 Trabzon, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","year":"1855"},{"key":"2","first-page":"742","volume":"10","year":"1930","journal-title":"Archives of Pathology"},{"issue":"1","key":"3","doi-asserted-by":"crossref","first-page":"56","DOI":"10.7326\/0003-4819-45-1-56","volume":"45","year":"1956","journal-title":"Annals of Internal Medicine"},{"issue":"7571","key":"4","first-page":"744","volume":"2","year":"1968","journal-title":"The Lancet"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199610173351607"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2265.1999.00625.x"},{"issue":"4","key":"7","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1007\/BF03351067","volume":"27","year":"2004","journal-title":"Journal of Endocrinological Investigation"},{"key":"8","volume-title":"Disorders of the adrenal cortex","year":"2011"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2265.1998.00409.x"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(05)70163-8"},{"issue":"4","key":"11","first-page":"316","volume":"120","year":"2004","journal-title":"Indian Journal of Medical Research"},{"key":"12","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1097\/00004728-198208000-00016","volume":"6","year":"1982","journal-title":"Journal of Computer Assisted Tomography"},{"issue":"5","key":"13","first-page":"226","volume":"81","year":"1998","journal-title":"Journal Belge de Radiologie"},{"issue":"2","key":"14","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1148\/radiographics.18.2.9536486","volume":"18","year":"1998","journal-title":"Radiographics"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2006.12.011"},{"issue":"797","key":"16","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1136\/pgmj.68.797.204","volume":"68","year":"1992","journal-title":"Postgraduate Medical Journal"},{"issue":"2","key":"17","first-page":"127","volume":"122","year":"2005","journal-title":"Indian Journal of Medical Research"}],"container-title":["Case Reports in Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2012\/574845.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2012\/574845.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2012\/574845.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T14:31:25Z","timestamp":1497969085000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crim\/2012\/574845\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":17,"alternative-id":["574845","574845"],"URL":"https:\/\/doi.org\/10.1155\/2012\/574845","relation":{},"ISSN":["1687-9627","1687-9635"],"issn-type":[{"value":"1687-9627","type":"print"},{"value":"1687-9635","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}