title: Isolated cryptococcosis of the adrenal gland.
abstract: A case of isolated adrenal cryptococcosis is reported. A patient with a history of diabetes mellitus had symptoms of left flank pain. Roentgenological and sonographic findings of the adrenal gland were indicative of a malignant tumour. Tissue obtained from surgery showed fungal granuloma and a poorly encapsulated cryptococcal organism was identified by special stains. A post-operative serum cryptococcal antigen test was positive, and the patient was successfully treated with surgery and a course of amphotericin B. After a 7-month follow-up period, there is no evidence of recurrence or dissemination.
authors.affiliation: Department of Medicine, Veterans General Hospital, Kaohsiung, Taiwan, Republic of China.
authors.forename: Y C
authors.initials: YC
authors.lastname: Liu
authors.forename: D L
authors.initials: DL
authors.lastname: Cheng
authors.forename: C Y
authors.initials: CY
authors.lastname: Liu
authors.forename: M Y
authors.initials: MY
authors.lastname: Yen
authors.forename: R S
authors.initials: RS
authors.lastname: Wang
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis; D000666:Amphotericin B / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003453:Cryptococcosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged
chemical_list: D000666:Amphotericin B