一名免疫功能正常男性的双侧肾上腺组织胞浆菌病。

Bilateral adrenal histoplasmosis in an immunocompetent man.

作者信息

Benevides Carlos Frederico Lopes, Durães Ronilson Oliveira, Aquino Bianca, Schiavon Leonardo de Lucca, Narciso-Schiavon Janaína Luz, Buzzoleti Fernando da Costa

机构信息

Serviço de Clínica Médica, Hospital Heliópolis, São Paulo, SP.

出版信息

Rev Soc Bras Med Trop. 2007 Mar-Apr;40(2):230-3. doi: 10.1590/s0037-86822007000200017.

DOI:10.1590/s0037-86822007000200017

PMID:17568895

Abstract

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.

摘要

组织胞浆菌病是一种在巴西流行的真菌病。它可能表现为慢性肺部感染或播散性形式。播散性组织胞浆菌病常累及肾上腺；然而，免疫抑制患者单侧受累是常见表现。我们报告一例有体重减轻、发热和双侧肾上腺肿块病史的老年免疫功能正常男性患者，该患者接受伊曲康唑治疗成功。