title: Chronic Paracoccidioidomycosis with adrenal involvement mimicking tuberculosis - A case report from Austria.
abstract: Paracoccidioidomycosis is a systemic fungal infection caused byParacoccidioides brasiliensisand endemic in certain areas of Central and South America. We report a case of a 62-year-old-man with a complex history of tuberculosis and imaging findings of a cerebral lesion and bilateral adrenal enlargement. Biopsy of adrenal gland revealedParacoccidioides brasiliensis. This case highlights the importance of travel history for diagnosis of paracoccidioidomycosis in non-endemic areas and emphasizes the clinical and histopathological similarities with tuberculosis.
authors.affiliation: Clinical Department of Internal Medicine II, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria; Department for Evidence-based Medicine and Clinical Epidemiology, Danube University Krems, Dr.-Karl-Dorrek-Strasse 30, 3500 Krems, Austria.
authors.forename: Gernot
authors.initials: G
authors.lastname: Wagner
authors.affiliation: Clinical Department of Internal Medicine III, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria.
authors.forename: Deddo
authors.initials: D
authors.lastname: Moertl
authors.affiliation: Clinical Department of Internal Medicine II, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria.
authors.forename: Axel
authors.initials: A
authors.lastname: Eckhardt
authors.affiliation: Institute for Hygiene and Microbiology, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Sagel
authors.affiliation: Department of Clinical Pathology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
authors.forename: Friedrich
authors.initials: F
authors.lastname: Wrba
authors.affiliation: Clinical Department of Internal Medicine II, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria.
authors.forename: Karl
authors.initials: K
authors.lastname: Dam
authors.affiliation: Division of Clinical Microbiology, Department of Laboratory Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
authors.forename: Birgit
authors.initials: B
authors.lastname: Willinger
keywords: Bilateral adrenal enlargement; Endemic systemic mycosis; Paracoccidioides brasiliensis; Paracoccidioidomycosis; Tuberculosis