title: Computed tomography and (18)F-fluorodeoxyglucose positron emission tomography/computed tomography findings in adrenal candidiasis and histoplasmosis: two cases.
abstract: We report the contrast-enhanced computed tomography (CT) and (18)F-fluorodeoxyglucose positron emission tomography findings in adrenal histoplasmosis and candidiasis. Both demonstrated bilateral hypermetabolic heterogeneous adrenal masses with limited wash-out on delayed CT. Adrenal candidiasis has not been previously reported, nor have the CT wash-out findings in either infection. The adrenal imaging findings are indistinguishable from malignancy, which is more common; but in this setting, physicians should be alert to the differential diagnosis of fungal infections, since it can be equally deadly.
authors: Department of Diagnostic Radiology, Unit 1473, The University of Texas, MD Anderson Cancer Center, Houston, TX, 77030-4008 USA. Electronic address: emrealtinmakas@gmail.com.
authors: Emre
authors: E
authors: Altinmakas
authors: Department of Pathology, Unit 0085, The University of Texas MD, Anderson Cancer Center, Houston, TX, 77030-4009 USA.
authors: Ming
authors: M
authors: Guo
authors: Department of Pathology, Unit 0085, The University of Texas MD, Anderson Cancer Center, Houston, TX, 77030-4009 USA.
authors: Uma R
authors: UR
authors: Kundu
authors: Department of Endocrine Neoplasia and Hormonal Disorders, Unit 1461, The University of Texas MD Anderson Cancer Center, Houston, TX, 77030-4008 USA.
authors: Mouhammed Amir
authors: MA
authors: Habra
authors: Department of Diagnostic Radiology, Unit 1473, The University of Texas MD, Anderson Cancer Center, Houston, TX, 77030-4008 USA.
authors: Chaan
authors: C
authors: Ng
mesh_terms: D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging*; D000368:Aged; D002177:Candidiasis / Q000000981:diagnostic imaging*; D003287:Contrast Media; D003937:Diagnosis, Differential; D019788:Fluorodeoxyglucose F18; D006660:Histoplasmosis / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D049268:Positron-Emission Tomography / Q000379:methods; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D003287:Contrast Media; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18
keywords: Adrenal candidiasis; Adrenal histoplasmosis; Bilateral adrenal masses; FDG-PET/CT