title: Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly.
abstract: We report a case history of an 84-year-old elderly male patient that presented with a clinical picture suggestive of adrenal failure and bilateral adrenal nodules detected by abdominal computed tomography. A fine needle-guided biopsy was inconclusive for achieving a final diagnosis. The patient died due to septic shock and the autopsy disclosed histoplasmosis with extensive bilateral necrosis of the adrenal glands. Although the adrenal involvement in chronic disseminated histoplasmosis has been described, there have been few reports of the infection being associated with adrenal insufficiency.
authors.affiliation: Geriatrics Service, Hospital das Clínicas, Medical School, São Paulo University, São Paulo-SP, Brazil. fpfcarvalho@uol.com.br
authors.forename: Flávio Pedreira de Freitas de
authors.initials: FP
authors.lastname: Carvalho
authors.forename: José Antônio Esper
authors.initials: JA
authors.lastname: Curiati
authors.forename: Thaís
authors.initials: T
authors.lastname: Mauad
authors.forename: Milena Mendes
authors.initials: MM
authors.lastname: Incerti
authors.forename: Wilson
authors.initials: W
authors.lastname: Jacob Filho
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology; D000311:Adrenal Glands / Q000382:microbiology* / Q000473:pathology; D000369:Aged, 80 and over; D002908:Chronic Disease; D017809:Fatal Outcome; D006658:Histoplasma / Q000302:isolation & purification; D006660:Histoplasmosis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D009336:Necrosis