Clinics in diagnostic imaging (109). Nocardial adrenal abscess.
A 34-year-old man presented with a two-month history of intermittent fever and left loin pain. A large left suprarenal mass was detected on computed tomography and magnetic resonance imaging. Blood pressure, serum electrolytes, serum cortisol and urinary catecholamines were normal. Laparoscopic adrenalectomy was planned but the mass was found to be an isolated adrenal abscess due to Nocardiosis. He was later found to have AIDS. The clinical utility of various imaging modalities and management of adrenal cysts are reviewed.
Chong
Y L
YL
Urology Unit, Department of General Surgery, Tan Tock Seng Hospital, Singapore. yew_lam_chong@ttsh.com.sg
Tan
J K
JK
Teo
N
N
D000038:Abscess / Q000175:diagnosis* / Q000473:pathology; D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000473:pathology; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000473:pathology; D000328:Adult; D002443:Ceftriaxone / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000175:diagnosis* / Q000473:pathology; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D002443:Ceftriaxone; D015662:Trimethoprim, Sulfamethoxazole Drug Combination