5th April 2024

A 43-year-old Accountant presents to his GP with symptoms of fatigue

A 43-year-old Accountant presents to his GP with symptoms of fatigue, weight loss, a dry cough and episodes of severe light-headedness on standing. On inspection, he has hyperpigmented palmar creases and crackles are heard in the right upper lobe on auscultation. He has recently moved to the UK from India. Subsequent tests confirm a diagnosis of primary adrenal insufficiency. Which pathogen is most likely to have caused his condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.