Document Detail


Histoplasmosis presenting as addisonian crisis in an immunocompetent host.
MedLine Citation:
PMID:  15042187     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Marcio Fernandes Chedid; Aljamir Duarte Chedid; Geraldo Resin Geyer; Maria Bernadete Fernandes Chedid; Luiz Carlos Severo
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-03-19
Journal Detail:
Title:  Revista da Sociedade Brasileira de Medicina Tropical     Volume:  37     ISSN:  0037-8682     ISO Abbreviation:  Rev. Soc. Bras. Med. Trop.     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-03-25     Completed Date:  2004-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7507456     Medline TA:  Rev Soc Bras Med Trop     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  60-2     Citation Subset:  IM    
Affiliation:
Serviço de Transplante Hepático Adulto, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
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MeSH Terms
Descriptor/Qualifier:
Addison Disease / drug therapy,  microbiology*
Aged
Antifungal Agents / therapeutic use
Chronic Disease
Histoplasma / isolation & purification
Histoplasmosis / complications*,  drug therapy
Humans
Hydrocortisone / therapeutic use
Immunocompromised Host
Itraconazole / therapeutic use
Male
Chemical
Reg. No./Substance:
0/Antifungal Agents; 50-23-7/Hydrocortisone; 84625-61-6/Itraconazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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