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Chronic Paracoccidioidomycosis with adrenal involvement mimicking tuberculosis - A case report from Austria
Gernot Wagner1, Deddo Moertl2, Axel Eckhardt3
1Clinical Department of Internal Medicine II, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria; Department for Evidence-based Medicine and Clinical Epidemiology, Danube University Krems, Dr.-Karl-Dorrek-Strasse 30, 3500 Krems, Austria.
Abstract:
Paracoccidioidomycosis is a systemic fungal infection caused by Paracoccidioides brasiliensis and endemic in certain areas of Central and South America. We report a case of a 62-year-old-man with a complex history of tuberculosis and imaging findings of a cerebral lesion and bilateral adrenal enlargement. Biopsy of adrenal gland revealed Paracoccidioides brasiliensis. This case highlights the importance of travel history for diagnosis of paracoccidioidomycosis in non-endemic areas and emphasizes the clinical and histopathological similarities with tuberculosis.
