Identification of Paracoccidioides brasiliensis in adrenal glands biopsies of two patients with paracoccidioidomycosis and adrenal insufficiency

Revista do Instituto de Medicina Tropical de São Paulo

Carlos Andrés Agudelo²  Carolina Muñoz²  Alex Ramírez²  Jonhairo Gutierrez¹  Santiago Velez²  Juan Camilo Perez¹  Alejandro Velez²  Angela María Tobon¹  Angela Restrepo¹ 

[1] ,Universidad Pontificia Bolivariana School of Medicine

关键词: Paracoccidioidomycosis;    Adrenal insufficiency;    Cortisol;   

DOI  :  10.1590/S0036-46652009000100008

来源: SciELO

【 摘 要 】

The authors report two cases of adrenal insufficiency secondary to infiltration of the adrenal glands by Paracoccidioides brasiliensis. The first patient had been treated for a chronic multifocal form of paracoccidiodomycosis 11 years ago. The diagnosis of the mycosis was done simultaneous with that of the adrenal insufficiency in the second patient. In both patients the diagnosis was done by direct visualization of fungus in adrenal biopsies. They were treated with hormonal supplements and itraconazol by 12 and six months, without relapses during the follow-up period.

【 授权许可】

CC BY-NC   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License