Histoplasmosis presenting as addisonian crisis in an immunocompetent host

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.

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Bibliographic Details
Main Authors: Chedid,Marcio Fernandes, Chedid,Aljamir Duarte, Geyer,Geraldo Resin, Chedid,Maria Bernadete Fernandes, Severo,Luiz Carlos
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2004
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822004000100016
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