Histoplasmosis presenting as addisonian crisis in an immunocompetent host

Revista da Sociedade Brasileira de Medicina Tropical

Chedid, Marcio Fernandes¹  Geyer, Geraldo Resin¹  Hospital Ernesto Dornelles, Porto Alegre¹  Chedid, Aljamir Duarte¹  Universidade Federal do Rio Grande do Sul, Porto Alegre¹  Chedid, Maria Bernadete Fernandes¹  Severo, Luiz Carlos¹ 

关键词: Histoplasmosis;    Histoplasma capsulatum;    Adrenal gland;   

DOI  :  10.1590/S0037-86822004000100016

学科分类：农业科学（综合）

来源: Sociedade Brasileira de Medicina Tropical

【 摘 要 】

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.

【 授权许可】

Unknown