Bilateral adrenal histoplasmosis: endoscopic ultrasound – guided fine needle aspiration as a method of diagnosis and assessment
We report a case of a healthy 78 -year- old indonesian man who presented with chronic weight loss, poor appetite and lethargy. CT abdomen showed bilateral adrenal masses. Endoscopic ultrasound(EUS) – guided FNA was performed on the left adrenal gland. The histopathology report was Histoplasma C...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Medical Associations
2011
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/16148/ http://irep.iium.edu.my/16148/ http://irep.iium.edu.my/16148/1/bilateral_adrenal_histoplasmosis.pdf |
| Summary: | We report a case of a healthy 78 -year- old indonesian man
who presented with chronic weight loss, poor appetite and
lethargy. CT abdomen showed bilateral adrenal masses.
Endoscopic ultrasound(EUS) – guided FNA was performed
on the left adrenal gland. The histopathology report was
Histoplasma Capsulatum. He recovered well with antifungal
treatment without any complication. In this case, we found
that the role of EUS – guided FNA was not only limited to
diagnosis but also helped in the prognosis of the disease
since the method was able to assess the general anatomy
of the adrenal gland better than other imaging modalities
due to its close proximity and direct visualization. |
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