Histoplasmosis presenting as addisonian crisis in an immunocompetent host Histoplasmose apresentando-se como crise addisoniana em hospedeiro imunocompetente

نویسندگان

  • Marcio Fernandes Chedid
  • Aljamir Duarte Chedid
  • Geraldo Resin Geyer
  • Maria Bernadete Fernandes Chedid
  • Luiz Carlos Severo
چکیده

A 71-year-old man with presumptively treated pulmonary tuberculosis ten years earlier and previous alcoholism presented with adrenal insufficiency. HIV serology was negative. A computerized tomography scan of the abdomen showed enlarged right adrenal. He recovered after emergency treatment with hydrocortisone IV. Right adrenalectomy was performed. Histoplasmosis was diagnosed and the patient was treated with itraconazole, corticosteroid replacement, and discharged with good health. Key-words: Histoplasmosis. Histoplasma capsulatum. Adrenal gland.

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Histoplasmosis presenting as addisonian crisis in an immunocompetent host.

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تاریخ انتشار 2004