case_images: PMC3357531_01
case_images: Magnetic resonance imaging of the upper abdomen showing asymmetric, bilateral enlargement of the adrenal glands.
case_images: CRIM2012-574845.001.jpg
case_images: PMC3357531_01_CRIM2012-574845.001.jpg
case_images: fig1
case_images: Magnetic resonance imaging (MRI) of the upper abdomen showed asymmetrically enlarged adrenal glands (coronal diameter: right, 9 mm; left, 11 mm), consistent with bilateral adrenal hyperplasia (Figure 1).
case_images: Photomicrograph of lymph node biopsy specimen showing caseating granulomas consistent with tuberculosis (hematoxylin and eosin stain; 20 fold magnification).
case_images: CRIM2012-574845.002.jpg
case_images: PMC3357531_01_CRIM2012-574845.002.jpg
case_images: fig2
case_images:  Inguinal sonography showed multiple, enlarged (diameter, 1.5 to 2 cm), hypoechoic, nonreactive right inguinal lymph nodes with thickened cortex; excisional biopsy of an inguinal lymph node showed caseating granulomas, consistent with granulomatous lymphadenitis (Figure 2).
case_images: Magnetic resonance imaging of pathologic signalization in lumbar vertebrae.
case_images: CRIM2012-574845.003.jpg
case_images: PMC3357531_01_CRIM2012-574845.003.jpg
case_images: fig3
case_images: Lumbar MRI showed loss of vertebral body height and the presence of pathologic signal in L1 and L2, consistent with compression fracture, metastasis, or infection (Figure 3); lumbar vertebral biopsy, performed by an open surgery, showed chronic, necrotic, caseating granulomas consistent with tuberculous osteomyelitis (Figure 4).
case_images: Photomicrograph of vertebral bone biopsy specimen showing caseating granulomas consistent with tuberculosis (hematoxylin and eosin stain; 20 fold magnification).
case_images: CRIM2012-574845.004.jpg
case_images: PMC3357531_01_CRIM2012-574845.004.jpg
case_images: fig4
case_images: Lumbar MRI showed loss of vertebral body height and the presence of pathologic signal in L1 and L2, consistent with compression fracture, metastasis, or infection (Figure 3); lumbar vertebral biopsy, performed by an open surgery, showed chronic, necrotic, caseating granulomas consistent with tuberculous osteomyelitis (Figure 4).