Histoplasmosis presenting as addisonian crisis in an immunocompetent host
Document title: Histoplasmosis presenting as addisonian crisis in an immunocompetent host
Journal: Revista da Sociedade Brasileira de Medicina Tropical
Database: PERIÓDICA
System number: 000282545
ISSN: 0037-8682
Authors: 1
1
2
Institutions: 1Universidade Federal do Rio Grande do Sul, Hospital de Clinicas, Porto Alegre, Rio Grande do Sul. Brasil
2Hospital Ernesto Dornelles, Servico de Patologia, Porto Alegre, Rio Grande do Sul. Brasil
Year:
Season: Ene-Feb
Volumen: 37
Number: 1
Pages: 60-62
Country: Brasil
Language: Inglés
Document type: Nota breve o noticia
Approach: Caso clínico
English abstract 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
Portuguese abstract Homem de 71 anos de idade com tratamento presuntivo de tuberculose pulmonar 10 anos antes e de alcoolismo prévio apresentou-se com insuficiência de supra-renal. HIV soro-negativo. A tomografia computadorizada abdominal mostrou aumento da glândula supra-renal direita. Ele melhorou após tratamento de emergência com hidrocortisona EV. Supra-renalectomia direita forneceu diagnóstico de histoplasmose. O paciente foi tratado com itraconazol, reposição hormonal e teve alta em boas condições
Disciplines: Biología,
Medicina
Keyword: Parasitología,
Farmacología,
Neumología,
Histoplasmosis,
Histoplasma capsulatum,
VIH,
Tuberculosis,
Alcoholismo,
Glándulas
Keyword: Biology,
Medicine,
Parasitology,
Pharmacology,
Pneumology,
Histoplasmosis,
Histoplasma capsulatum,
Glands,
HIV,
Tuberculosis,
Alcoholism
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