Bilateral adrenal histoplasmosis in an immunocompetent man.
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.
Benevides
Carlos Frederico Lopes
CF
Serviço de Clínica Médica, Hospital Heliópolis, São Paulo, SP.
Durães
Ronilson Oliveira
RO
Aquino
Bianca
B
Schiavon
Leonardo de Lucca
Lde L
Narciso-Schiavon
Janaína Luz
JL
Buzzoleti
Fernando da Costa
Fda C
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
D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B