title: Histoplasmosis presenting as addisonian crisis in an immunocompetent host.
abstract: 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.
authors.affiliation: Serviço de Transplante Hepático Adulto, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
authors.forename: Marcio Fernandes
authors.initials: MF
authors.lastname: Chedid
authors.forename: Aljamir Duarte
authors.initials: AD
authors.lastname: Chedid
authors.forename: Geraldo Resin
authors.initials: GR
authors.lastname: Geyer
authors.forename: Maria Bernadete Fernandes
authors.initials: MB
authors.lastname: Chedid
authors.forename: Luiz Carlos
authors.initials: LC
authors.lastname: Severo
mesh_terms: D000224:Addison Disease / Q000188:drug therapy / Q000382:microbiology*; D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D002908:Chronic Disease; D006658:Histoplasma / Q000302:isolation & purification; D006660:Histoplasmosis / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D016867:Immunocompromised Host; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D006854:Hydrocortisone