Bilateral afrenal nodules due to histoplasmosis in an elderly

Flávio Pedreira de Freitas de Carvalho, José Antônio Esper Curiati, Thaís Mauad, Milena Mendes Incerti, Wilson Jacob Filho
2007 Brazilian Journal of Infectious Diseases  
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
more » ... oplasmosis has been described, there have been few reports of the infection being associated with adrenal insufficiency.
doi:10.1590/s1413-86702007000100033 pmid:17625747 fatcat:rnwo6mf7fvf3jnfctfbw7hikyy