Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly
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...
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| Veröffentlicht in: | The Brazilian journal of infectious diseases 2007-02, Vol.11 (1), p.160-162 |
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| container_title | The Brazilian journal of infectious diseases |
| container_volume | 11 |
| creator | Carvalho, Flávio Pedreira de Freitas de Curiati, José Antônio Esper Mauad, Thaís Incerti, Milena Mendes Jacob Filho, Wilson |
| description | 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. |
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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. 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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.</description><subject>Adrenal Gland Diseases - diagnosis</subject><subject>Adrenal Gland Diseases - microbiology</subject><subject>Adrenal Gland Diseases - pathology</subject><subject>Adrenal Glands - microbiology</subject><subject>Adrenal Glands - pathology</subject><subject>Aged, 80 and over</subject><subject>Chronic Disease</subject><subject>Fatal Outcome</subject><subject>Histoplasma - isolation & purification</subject><subject>Histoplasmosis - diagnosis</subject><subject>Histoplasmosis - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Necrosis</subject><issn>1413-8670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j71qwzAURjW0JGnSVyiauhlkSZbksQ39CQSyZCvFyLrXVEW2XMke8vY1NOUbznI48N2QTSlLURil2Zrc5fzNGK-YZCuyLrXilZZ6Qw7PPtgJkw3UQsJh4YeLKaGbED7pEGEOmCnMSKdIv3ye4hhs7mP2mfqB2oFiAEzhsiO3nQ0Z76_ckvPry3n_XhxPb4f907EYK6kLQHCdMSV34FinEFqOxnEUGrBl0qJEK7mSTCtn69ZhxVqojQHBhS6FElvy-JcdU_yZMU9N77PDEOyAcc6NZsskrxfx4SrObY_QjMn3Nl2a_-_iF3r8VeE</recordid><startdate>200702</startdate><enddate>200702</enddate><creator>Carvalho, Flávio Pedreira de Freitas de</creator><creator>Curiati, José Antônio Esper</creator><creator>Mauad, Thaís</creator><creator>Incerti, Milena Mendes</creator><creator>Jacob Filho, Wilson</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200702</creationdate><title>Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly</title><author>Carvalho, Flávio Pedreira de Freitas de ; Curiati, José Antônio Esper ; Mauad, Thaís ; Incerti, Milena Mendes ; Jacob Filho, Wilson</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p547-dedcf8812cdc0f6edb2e8c2e37deb04ae4ea4264076ca9bce50bd988d32371363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adrenal Gland Diseases - diagnosis</topic><topic>Adrenal Gland Diseases - microbiology</topic><topic>Adrenal Gland Diseases - pathology</topic><topic>Adrenal Glands - microbiology</topic><topic>Adrenal Glands - pathology</topic><topic>Aged, 80 and over</topic><topic>Chronic Disease</topic><topic>Fatal Outcome</topic><topic>Histoplasma - isolation & purification</topic><topic>Histoplasmosis - diagnosis</topic><topic>Histoplasmosis - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>Necrosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carvalho, Flávio Pedreira de Freitas de</creatorcontrib><creatorcontrib>Curiati, José Antônio Esper</creatorcontrib><creatorcontrib>Mauad, Thaís</creatorcontrib><creatorcontrib>Incerti, Milena Mendes</creatorcontrib><creatorcontrib>Jacob Filho, Wilson</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Brazilian journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carvalho, Flávio Pedreira de Freitas de</au><au>Curiati, José Antônio Esper</au><au>Mauad, Thaís</au><au>Incerti, Milena Mendes</au><au>Jacob Filho, Wilson</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly</atitle><jtitle>The Brazilian journal of infectious diseases</jtitle><addtitle>Braz J Infect Dis</addtitle><date>2007-02</date><risdate>2007</risdate><volume>11</volume><issue>1</issue><spage>160</spage><epage>162</epage><pages>160-162</pages><issn>1413-8670</issn><abstract>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. 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| ispartof | The Brazilian journal of infectious diseases, 2007-02, Vol.11 (1), p.160-162 |
| issn | 1413-8670 |
| language | eng |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adrenal Gland Diseases - diagnosis Adrenal Gland Diseases - microbiology Adrenal Gland Diseases - pathology Adrenal Glands - microbiology Adrenal Glands - pathology Aged, 80 and over Chronic Disease Fatal Outcome Histoplasma - isolation & purification Histoplasmosis - diagnosis Histoplasmosis - pathology Humans Male Necrosis |
| title | Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly |
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