Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly.

Autor: Carvalho FP; Geriatrics Service, Hospital das Clínicas, Medical School, São Paulo University, São Paulo-SP, Brazil. fpfcarvalho@uol.com.br, Curiati JA, Mauad T, Incerti MM, Jacob Filho W
Jazyk: angličtina
Zdroj: The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases [Braz J Infect Dis] 2007 Feb; Vol. 11 (1), pp. 160-2.
DOI: 10.1590/s1413-86702007000100033
Abstrakt: We report a case history of an 84-year-old elderly male patient that presented with a clinical picture suggestive of adrenal failure and bilateral adrenal nodules detected by abdominal computed tomography. A fine needle-guided biopsy was inconclusive for achieving a final diagnosis. The patient died due to septic shock and the autopsy disclosed histoplasmosis with extensive bilateral necrosis of the adrenal glands. Although the adrenal involvement in chronic disseminated histoplasmosis has been described, there have been few reports of the infection being associated with adrenal insufficiency.
Databáze: MEDLINE