Histoplasmosis presenting as addisonian crisis in an immunocompetent host

Revista da Sociedade Brasileira de Medicina Tropical

Marcio Fernandes Chedid¹  Aljamir Duarte Chedid²  Geraldo Resin Geyer¹  Maria Bernadete Fernandes Chedid¹  Luiz Carlos Severo¹ 

[1] ,Universidade Federal do Rio Grande do Sul Hospital de Clínicas de Porto Alegre Serviço de Transplante Hepático AdultoPorto Alegre RS

关键词: Histoplasmosis;    Histoplasma capsulatum;    Adrenal gland;    Histoplasmose;    Histoplasma capsulatum;    Glândula supra-renal;   

DOI  :  10.1590/S0037-86822004000100016

来源: SciELO

【 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】

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