Bilateral adrenal histoplasmosis in an immunocompetent man

Author:

Benevides Carlos Frederico Lopes1,Durães Ronilson Oliveira1,Aquino Bianca1,Schiavon Leonardo de Lucca1,Narciso-Schiavon Janaína Luz1,Buzzoleti Fernando da Costa1

Affiliation:

1. Hospital Heliópolis

Abstract

Histoplasmosis is a fungal disease that is endemic in Brazil. It may present as chronic pulmonary infection or in disseminated form. Disseminated histoplasmosis frequently affects the adrenal gland; however, unilateral involvement in immunosuppressed patients is the usual presentation. We report a case of an elderly immunocompetent male with history of weight loss, fever and bilateral adrenal mass who was successfully treated with itraconazole.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,Microbiology (medical),Parasitology

Reference27 articles.

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2. Histoplasmosis presenting as bilateral adrenal tumour;Anandi V;Indian Journal Pathology & Microbiology,1989

3. Successful treatment of multiple cerebral histoplasmomas with itraconazole;Bamberger DM;Clinical Infectious Diseases,1999

4. Histoplasmosis presenting as addisonian crisis in an immunocompetent host;Chedid MF;Revista da Sociedade Brasileira de Medicina Tropical,2004

5. Corticosteroid insufficiency in acutely ill patients;Cooper MS;New England Journal of Medicine,2003

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