title: Bilateral isolated adrenal coccidioidomycosis.
abstract: A case of bilateral isolated adrenal coccidioidomycosis in a previously healthy and immunocompetent 43-year-old Caucasian male is presented. He had never travelled to a coccidioidomycosis endemic area. Subclinical adrenal dysfunction was found with elevated plasma ACTH and mineralocorticosteroid and androgen pathway abnormalities. The implement of the fungal infection on adrenal function, and the diagnosis and management of adrenal coccidioidomycosis are discussed.
authors.affiliation: Department of Endocrinology, Malmö University Hospital, Sweden.
authors.forename: K I
authors.initials: KI
authors.lastname: Papadopoulos
authors.forename: B
authors.initials: B
authors.lastname: Castor
authors.forename: L
authors.initials: L
authors.lastname: Klingspor
authors.forename: A
authors.initials: A
authors.lastname: Dejmek
authors.forename: I
authors.initials: I
authors.lastname: Lorén
authors.forename: M
authors.initials: M
authors.lastname: Bramnert
mesh_terms: D000307:Adrenal Gland Diseases / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D000311:Adrenal Glands / Q000382:microbiology / Q000473:pathology; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001706:Biopsy; D003047:Coccidioidomycosis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D003348:Cortisone / Q000031:analogs & derivatives / Q000627:therapeutic use; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D008297:Male; D013548:Sweden / Q000453:epidemiology
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B; D015725:Fluconazole; D003348:Cortisone