Mycobacterium tuberculosis kills about 3 million patients each year and, so, is the single most important infectious cause of death on earth. Tuberculosis is the most common cause of primary adrenal insufficiency especially in under-developed countries. In primary stage, diffused enlargement of adrenal gland is noted and in later stages, the gland shrinks. This presented case is a 3.5-year-old boy from Sanandaj who referred for abdominal mass search evaluation. Patient was involved by chronic diarrhea and iron deficiency anemia resistant to treatment for 2.5 years. In abdominal sonography no sign of para-aortic and retroperitoneal adenopathy was seen, but in upper pole of right kidney(adrenal region) hypo echo mass with well defined border without calcification was noted, therefore, neuroblastoma and Wilms’ tumor were diagnosed for the patient. Key