Diagnostic and Therapeutic Implications of Organic Delusional Disorder due to Tuberculous Adrenalitis

Table 1

Blood biochemistry and imaging findings.

Investigation	Period of evaluation from onset of PTB	Value
Chest X-ray	0 month	L–mid zone fibrosis
Bronchoscopy and GeneXpert	0 month	Positive for MTB
CT brain	3^rd month	Normal pressure hydrocephalus, dilated ventricles, and cerebral atrophy
MRI brain	3^rd month	Diffuse cerebral atrophy and ex vacuo dilatation of ventricles
Sodium	3^rd month	118 meq/L
Fundoscopy	3^rd month	Choroid tubercles
Cortisol (7 am sample)	4^th month	2.25 mcg/dL
Hemoglobin	Current admission	8.3 gm/dL
TSH	Current admission	58.60 mIU/L
RBS	Current admission	176 mg/dL
HbA1c	Current admission	12.6

CT: computed tomography; HbA1c: hemoglobin A1c; MRI: magnetic resonance imaging; MTB: mycobacterium tuberculosis; RBS: random blood sugar; PTB: pulmonary tuberculosis; TSH: thyroid-stimulating hormone.