Histoplasmosis presenting as addisonian crisis in an immunocompetent host

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 hydr...

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Bibliographic Details
Main Authors: Marcio Fernandes Chedid, Aljamir Duarte Chedid, Geraldo Resin Geyer, Maria Bernadete Fernandes Chedid, Luiz Carlos Severo
Format: Article in Journal/Newspaper
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2004
Subjects:
Histoplasmosis
Histoplasma capsulatum
Adrenal gland
Arctic medicine. Tropical medicine
RC955-962
Arctic
Online Access:https://doaj.org/article/72f14fa72188489bb38c3294142e42f1
Description
Summary: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.

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