Histoplasmosis presenting as hypoadrenalism

Histoplasmosis is considered to be rare in India. Adrenal involvement is common in disseminated disease but may be the only site of demonstrable disease sometimes. We describe the case of a 36-year-old lady with type 2 diabetes mellitus who presented with adrenal insufficiency in whom computed tomog...

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Published inJournal of Clinical and Scientific Research Vol. 3; no. 1; pp. 33 - 37
Main Authors K, Komali, Ramanamurty, S.V., Vijaykumar, P, Ramachandra Gupta, N.S., Suresh, V., Ramakrishna Reddy, C.V.
Format Journal Article
LanguageEnglish
Published Wolters Kluwer Medknow Publications 01.01.2014
Subjects
Adrenal insufficiency
Bilateral adrenal masses
Cortisol
Histoplasmosis
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Summary:Histoplasmosis is considered to be rare in India. Adrenal involvement is common in disseminated disease but may be the only site of demonstrable disease sometimes. We describe the case of a 36-year-old lady with type 2 diabetes mellitus who presented with adrenal insufficiency in whom computed tomography and fine needle aspiration cytology helped in establishing the diagnosis. A high index of clinical suspicion and appropriate use of invasive diagnostic methods will be helpful in early diagnosis and institution of appropriate treatment.
ISSN:2277-5706
2277-8357
DOI:10.15380/2277-5706.JCSR.13.024