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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Main Authors: Jaafar, Khairul Azhar, Hwang Siok Gek, Jacqueline, Lim Kiat Hon, Tony, Tan , Ban Hock, Mesenas, Steven
Format: Article
Language:English
Published: Malaysian Medical Associations 2011
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
id iium-16148
recordtype eprints
spelling 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
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RC Internal medicine
spellingShingle 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
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