A Rare Presentation of Tuberculosis: Dilated Cardiomyopathy Secondary to Myocarditis with a Dual-secretory Adrenal Pheochromocytoma

ABSTRACT: We describe an unusual case involving a 25-year-old male who presented with breathlessness, cough, chest pain, abdominal pain, and significant weight loss. Detailed evaluation revealed pulmonary tuberculosis, an adrenal mass with biochemical evidence of a dual-secretory pheochromocytoma and severe dilated cardiomyopathy with profound left ventricular dysfunction. The coexistence of these conditions is extremely rare and highlights several clinical challenges - both in diagnosis and management. This case report emphasizes the importance of considering uncommon etiologies when confronted with multi-system involvement in young patients, the diagnostic difficulties posed by overlapping clinical features, and the critical role of a multidisciplinary approach in achieving optimal outcomes.