Adrenal involvement in Histoplasmosis

  • Nisha Sharma Institute of Medicine, Tribhuwan University Teaching Hospital https://orcid.org/0000-0001-8672-0137
  • Ram Chandra Adhikari Institute of Medicine, Tribhuwan University Teaching Hospital
Keywords: Adrenal; Diabetes; Immunocompromise; Histoplasmosis

Abstract

Histoplasmosis is a fungal infection caused by a dimorphic, saprophytic fungus Histoplasma capsulatum with primary predilection for the lungs and disseminated infections occurring rarely. Our case illustrates the case of disseminated adrenal histoplasmosis in an immunocompromised 42-year-old diabetic man. Radiological diagnosis suggested bilateral malignant adrenal mass, most likely metastasis. FNAC yielded blood only. Excisional biopsy from left adrenal gland, Hematoxylin & Eosin staining along with special stains as Periodic Acid Schiff and Grocott’s Methenamine Silver were performed to yield the concluding diagnosis of histoplasmosis.

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Author Biographies

Nisha Sharma, Institute of Medicine, Tribhuwan University Teaching Hospital

Lecturer; Department of Pathology

Ram Chandra Adhikari, Institute of Medicine, Tribhuwan University Teaching Hospital

Professor; Department of Pathology

Published
2019-03-30
How to Cite
Sharma, N., & Adhikari, R. (2019). Adrenal involvement in Histoplasmosis. Journal of Pathology of Nepal, 9(1), 1502-1504. https://doi.org/10.3126/jpn.v9i1.23381
Section
Case Reports