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Bilateral adrenal histoplasmosis in an immunocompetent man

Histoplasmose adrenal bilateral em um homem imunocompetente

Histoplasmosis is a fungal disease that is endemic in Brazil. It may present as chronic pulmonary infection or in disseminated form. Disseminated histoplasmosis frequently affects the adrenal gland; however, unilateral involvement in immunosuppressed patients is the usual presentation. We report a case of an elderly immunocompetent male with history of weight loss, fever and bilateral adrenal mass who was successfully treated with itraconazole.

Histoplasma capsulatum; Disseminated histoplasmosis; Adrenal tumor; Adrenal insufficiency


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