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...
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iium-161482013-06-26T07:17:59Z http://irep.iium.edu.my/16148/ Bilateral adrenal histoplasmosis: endoscopic ultrasound – guided fine needle aspiration as a method of diagnosis and assessment Jaafar, Khairul Azhar Hwang Siok Gek, Jacqueline Lim Kiat Hon, Tony Tan , Ban Hock Mesenas, Steven RC Internal medicine 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. Malaysian Medical Associations 2011-12-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/16148/1/bilateral_adrenal_histoplasmosis.pdf Jaafar, Khairul Azhar and Hwang Siok Gek, Jacqueline and Lim Kiat Hon, Tony and Tan , Ban Hock and Mesenas, Steven (2011) Bilateral adrenal histoplasmosis: endoscopic ultrasound – guided fine needle aspiration as a method of diagnosis and assessment. Medical Journal of Malaysia, 66 (5). pp. 502-504. ISSN 0300-5283 http://www.e-mjm.org/past_issues.html |
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RC Internal medicine |
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RC Internal medicine Jaafar, Khairul Azhar Hwang Siok Gek, Jacqueline Lim Kiat Hon, Tony Tan , Ban Hock Mesenas, Steven Bilateral adrenal histoplasmosis: endoscopic ultrasound – guided fine needle aspiration as a method of diagnosis and assessment |
description |
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. |
format |
Article |
author |
Jaafar, Khairul Azhar Hwang Siok Gek, Jacqueline Lim Kiat Hon, Tony Tan , Ban Hock Mesenas, Steven |
author_facet |
Jaafar, Khairul Azhar Hwang Siok Gek, Jacqueline Lim Kiat Hon, Tony Tan , Ban Hock Mesenas, Steven |
author_sort |
Jaafar, Khairul Azhar |
title |
Bilateral adrenal histoplasmosis: endoscopic ultrasound –
guided fine needle aspiration as a method of diagnosis
and assessment |
title_short |
Bilateral adrenal histoplasmosis: endoscopic ultrasound –
guided fine needle aspiration as a method of diagnosis
and assessment |
title_full |
Bilateral adrenal histoplasmosis: endoscopic ultrasound –
guided fine needle aspiration as a method of diagnosis
and assessment |
title_fullStr |
Bilateral adrenal histoplasmosis: endoscopic ultrasound –
guided fine needle aspiration as a method of diagnosis
and assessment |
title_full_unstemmed |
Bilateral adrenal histoplasmosis: endoscopic ultrasound –
guided fine needle aspiration as a method of diagnosis
and assessment |
title_sort |
bilateral adrenal histoplasmosis: endoscopic ultrasound –
guided fine needle aspiration as a method of diagnosis
and assessment |
publisher |
Malaysian Medical Associations |
publishDate |
2011 |
url |
http://irep.iium.edu.my/16148/ http://irep.iium.edu.my/16148/ http://irep.iium.edu.my/16148/1/bilateral_adrenal_histoplasmosis.pdf |
first_indexed |
2023-09-18T20:25:00Z |
last_indexed |
2023-09-18T20:25:00Z |
_version_ |
1777408357951340544 |