title: [A case of paracoccidioidomycosis with severe adrenal insufficiency].
abstract: Paracoccidioidomycosis (PCM) is the most common systemic fungal disease in central-south America, but is rare in Japan. We experiensed a case of PCM in a patient, who came from Bolivia and presented with mouth pain and reduced dietary intake but no fever. Adrenal insufficiency was diagnosed with extremely high serum adrenocorticotropic hormone (ACTH) and was resolved with hormone supplementation. The PCM was treated with trimethoprim-sulfamethoxazole which was switched to itraconazole and improvement was achieved.
authors: Department of Infectious Disease, Yokohoma Municipal Citizens' Hospital.
authors: Yukihiro
authors: Y
authors: Yoshimura
authors: Natsuo
authors: N
authors: Tachikawa
authors: Takayuki
authors: T
authors: Oosawa
authors: Youko
authors: Y
authors: Kosuge
authors: Katsuhiko
authors: K
authors: Kamei
mesh_terms: D000309:Adrenal Insufficiency / Q000150:complications*; D000935:Antifungal Agents / Q000627:therapeutic use; D001838:Bolivia / Q000208:ethnology; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010229:Paracoccidioidomycosis / Q000150:complications* / Q000188:drug therapy
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole