title: [Incidental adrenal histoplasmosis].
abstract: An adrenal mass found in the course of abdominal ecographic or computed tomography (CT) techniques performed for other reasons is a new diagnostic challenge. The patient in this case was asymptomatic and without previous illness. An ecographic study revealed an enlarged right adrenal gland, 66 by 33 mm. CT showed bilateral irregular enlargement of both adrenal glands. Nonadrenal malignancies and hyperfunctioning tumors were ruled out. A CT-guided biopsy was performed, and the histopathologic study was consistent with the diagnosis of histoplasmosis. The patient lived in an area endemic for this disease, and had daily contact with bird droppings. Histoplasmosis is a rare unsuspected cause of bilateral adrenal masses in the asymptomatic immunocompetent host.
authors.affiliation: Servicio de Clínica Médica, Departamento de Medicina Interna, Hospital Alemán, Buenos Aires, Argentina.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Nine
authors.forename: Claudia
authors.initials: C
authors.lastname: Maidana Paz
authors.forename: Florencia
authors.initials: F
authors.lastname: Koch
authors.forename: Bettina
authors.initials: B
authors.lastname: Stegmüller
authors.forename: Alfredo
authors.initials: A
authors.lastname: May
authors.forename: Hugo N
authors.initials: HN
authors.lastname: Catalano
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000382:microbiology; D006660:Histoplasmosis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged