播散性组织胞浆菌病引起的肾上腺皮质功能减退危象。
Hypoadrenal crisis caused by disseminated histoplasmosis.
作者信息
Lee J, Jones P H, Trowell J E, Whitear W P, Williams P F
机构信息
Ipswich Hospital, Suffolk, U.K.
出版信息
J Infect. 1993 Sep;27(2):181-3. doi: 10.1016/0163-4453(93)94836-z.
PMID:8228301
Abstract
We report a case of disseminated histoplasmosis presenting with acute renal impairment due to adrenal insufficiency. The finding of bilateral adrenal gland enlargement on abdominal ultrasound examination led to a diagnostic CT-guided adrenal biopsy. Prolonged therapy with amphotericin and itraconazole resulted in a clinical cure, although the patient still requires adrenal replacement therapy.
摘要
我们报告一例播散性组织胞浆菌病，该患者因肾上腺功能不全出现急性肾功能损害。腹部超声检查发现双侧肾上腺增大，遂进行了CT引导下的肾上腺活检。两性霉素和伊曲康唑的长期治疗使患者临床治愈，尽管该患者仍需肾上腺替代治疗。
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