Histoplasmosis presenting as addisonian crisis in an immunocompetent host

Author:

Chedid Marcio Fernandes,Chedid Aljamir Duarte1,Geyer Geraldo Resin2,Chedid Maria Bernadete Fernandes1,Severo Luiz Carlos1

Affiliation:

1. Universidade Federal do Rio Grande do Sul

2. Hospital Ernesto Dornelles

Abstract

A 71-year-old man with presumptively treated pulmonary tuberculosis ten years earlier and previous alcoholism presented with adrenal insufficiency. HIV serology was negative. A computerized tomography scan of the abdomen showed enlarged right adrenal. He recovered after emergency treatment with hydrocortisone IV. Right adrenalectomy was performed. Histoplasmosis was diagnosed and the patient was treated with itraconazole, corticosteroid replacement, and discharged with good health.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,Microbiology (medical),Parasitology

Reference10 articles.

1. Disseminated histoplasmosis in corticosteroid-treated patients: Report of five cases;Dismukes WE;Journal of the American Medical Association,1978

2. Disseminated histoplasmosis presenting as bilateral adrenal masses;Giacaglia LR;Revista do Hospital das Clínicas da Faculdade de Medicina de São Paulo,1998

3. Disseminated histoplasmosis: clinical and pathologic correlations;Goodwin RA;Medicine,1980

4. Disseminated histoplasmosis associated with disseminated tuberculosis: A case report;Leibowitz MC;South African Medical Journal,1977

5. Histoplasmose disseminada associada à tuberculose em pacientes imunodeprimidos;Pinotti AFF;Revista da Associação Médica Brasileira,1983

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