title: Bilateral adrenal histoplasmosis: endoscopic ultrasound-guided fine needle aspiration as a method of diagnosis and assessment.
abstract: We report a case of a healthy 78-year-old indonesian man who presented with chronic weight loss, poor appetite and lethargy. CT abdomen showed bilateral adrenal masses. EUS-guided FNA was performed on the left adrenal gland. Histopathology report was Histoplasma Capsulatum. He recovered well with antifungal treatment without any complication. In this case, we found that the role of EUS -guided FNA was not only limited to diagnosis but also helped in the prognosis of the disease since the method was able to assess the general anatomy of the adrenal gland better than other imaging modalities due to its close proximity and direct visualization.
authors.affiliation: Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
authors.forename: J Khairul
authors.initials: JK
authors.lastname: Azhar
authors.forename: H S G
authors.initials: HS
authors.lastname: Jacqueline
authors.forename: L K H
authors.initials: LK
authors.lastname: Tony
authors.forename: B H
authors.initials: BH
authors.lastname: Tan
authors.forename: J M
authors.initials: JM
authors.lastname: Steven
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000382:microbiology*; D000368:Aged; D044963:Biopsy, Fine-Needle / Q000379:methods*; D003937:Diagnosis, Differential; D019160:Endosonography / Q000379:methods; D006658:Histoplasma / Q000302:isolation & purification; D006660:Histoplasmosis / Q000175:diagnosis* / Q000382:microbiology*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional