Hypoadrenal crisis caused by disseminated histoplasmosis.
We report a case of disseminated histoplasmosis presenting with acute renal impairment due to adrenal insufficiency. The finding of bilateral adrenal gland enlargement on abdominal ultrasound examination led to a diagnostic CT-guided adrenal biopsy. Prolonged therapy with amphotericin and itraconazole resulted in a clinical cure, although the patient still requires adrenal replacement therapy.
Lee
J
J
Ipswich Hospital, Suffolk, U.K.
Jones
P H
PH
Trowell
J E
JE
Whitear
W P
WP
Williams
P F
PF
D000005:Abdomen / Q000000981:diagnostic imaging; D000309:Adrenal Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D000368:Aged; D001706:Biopsy; D006660:Histoplasmosis / Q000150:complications*; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology*; D008297:Male; D014463:Ultrasonography