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Updated: Jul 13, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly
Flávio Pedreira de Freitas de Carvalho1, José Antônio Esper Curiati, Thaís Mauad
1Geriatrics Service, Hospital das Clínicas, Medical School, São Paulo University, São Paulo-SP, Brazil. fpfcarvalho@uol.com.br
Abstract:
We report a case history of an 84-year-old elderly male patient that presented with a clinical picture suggestive of adrenal failure and bilateral adrenal nodules detected by abdominal computed tomography. A fine needle-guided biopsy was inconclusive for achieving a final diagnosis. The patient died due to septic shock and the autopsy disclosed histoplasmosis with extensive bilateral necrosis of the adrenal glands. Although the adrenal involvement in chronic disseminated histoplasmosis has been described, there have been few reports of the infection being associated with adrenal insufficiency.
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