HISTOPLASMOSIS OF ADRENAL GLANDS STUDIED BY COMPUTED TOMOGRAPHY

Authors

  • Supalak PLODPLIAW Department of Radiology, Faculty of Medicine, Chulalongkorn University
  • Kiat ARTHANSIRI Department of Radiology, Faculty of Medicine, Chulalongkorn University
  • Somruethai KANVISETSRP Department of Pathology, Faculty of Medicine, Chulalongkorn University
  • Pichet SAMPATHANUKUL Department of Pathology, Faculty of Medicine, Chulalongkorn University

Abstract

A 67-yr-old thai female presented with a history of fever and weight loss for 11 months. She had underlying diabetes mellitus with hepatosplenomegaly. CT revealed bilateral adrenal enlargement with multiloculated areas of low attenuation. Histoplasmosis capsulatum was demonstrated from FNA under ultrasound guidance. The patient was started on antifungal therapy and discharged. CT is excellent for evaluation of adrenal gland morphology and the disease. CT findings of this patient are well correlated with other 13 patients proved to be adrenal histoplasmosis from prior published studied from 1980 to 1997, most of which are bilateral enlargement of the organs with areas of necrosis.

FNA = Fine Needle Aspiration biopsy

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References

Wilson DA, Muchmore HG, et, al. Histoplasmosis of adrenal glands studied by CT. Radiology 1984; 150:779-783.

Reddy, et.al. Progressive disseminated Histoplasmosis as seen in adults. The American Journal of medicine 1970: 48: 629-636

Anderson CJ, Pitts WC, Disseminated Histoplasmosis Diagnosed by fine needle aspiration biopsy of the adrenal gland, a case report. Acta cytologica, 1989; 33: 337-340

Rawson A., Collin LH Jr, Grant JC, Torulosis as causes of adrenal insufficiency. The American Journal of the medical science, 1948; 215 :363-371

Valente PT, Calafati SA, Diagnosis of Disseminated Histoplasmosis by fine needle aspiration of the adrenal gland. Acta Cytologica ; 1989 ; 33: 341- 343

Davies SF, Khan M, Sarosi GA, Disseminated histoplasmosis in immunologically suppressed patients ; 1978 ; 64: 94-100

Deodhare S , Sapp M., Adrenal histoplasmosis ; Diagnosis by fine-needle aspiration. Diagnostic cystopathology; 1997; 17: 42-44

Munger DM, et,al . Addison crisis due to bilateral adrenal gland histoplasmosis, 1994 ; 124: 2188-95

Lee J, et.al, Hypoadrenal crisis caused by disseminated histoplasmosis, Journal of infectious, 1993; 27: 181-183

Van Zeban, et,al. Disseminated histoplasmosis, Typical presentation with involvement of the adrenal gland. Netherlands journal of medicine. 1989; 34; 200-4

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Published

2023-04-11

How to Cite

1.
PLODPLIAW S, ARTHANSIRI K, KANVISETSRP S, SAMPATHANUKUL P. HISTOPLASMOSIS OF ADRENAL GLANDS STUDIED BY COMPUTED TOMOGRAPHY. ASEAN J Radiol [Internet]. 2023 Apr. 11 [cited 2025 Jan. 31];5(3):249-53. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/494

Issue

Vol. 5 No. 3 (1999): September-December

Section

Original Article

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