title: Bilateral adrenal histoplasmosis in an immunocompetent man.
abstract: Histoplasmosis is a fungal disease that is endemic in Brazil. It may present as chronic pulmonary infection or in disseminated form. Disseminated histoplasmosis frequently affects the adrenal gland; however, unilateral involvement in immunosuppressed patients is the usual presentation. We report a case of an elderly immunocompetent male with history of weight loss, fever and bilateral adrenal mass who was successfully treated with itraconazole.
authors.affiliation: Serviço de Clínica Médica, Hospital Heliópolis, São Paulo, SP.
authors.forename: Carlos Frederico Lopes
authors.initials: CF
authors.lastname: Benevides
authors.forename: Ronilson Oliveira
authors.initials: RO
authors.lastname: Durães
authors.forename: Bianca
authors.initials: B
authors.lastname: Aquino
authors.forename: Leonardo de Lucca
authors.initials: Lde L
authors.lastname: Schiavon
authors.forename: Janaína Luz
authors.initials: JL
authors.lastname: Narciso-Schiavon
authors.forename: Fernando da Costa
authors.initials: Fda C
authors.lastname: Buzzoleti
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use*; D000935:Antifungal Agents / Q000627:therapeutic use*; D006660:Histoplasmosis / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D007121:Immunocompetence; D017964:Itraconazole / Q000627:therapeutic use*; D008297:Male
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B