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Updated: Jul 18, 2025

Fecal Glucocorticoid Analysis: Non-invasive Adrenal Monitoring in Equids
Published on: April 25, 2016
When the adrenals alert us to a systemic fungal disease
Daniel Alvarenga Fernandes1, Mariângela Ribeiro Resende2, Acsa Caroline Mesquita da Silva2
1Department of Radiology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Abstract:
We present a patient referred for investigation of adrenal insufficiency, confirmed due to disseminated paracoccidioidomycosis (PCM), with abdominal and central nervous system (CNS) involvement. Establishing the pathogenesis and immunological processes involved in chronic or latent infections by PCM has been challenging. Medical doctors caring for patients with immunodeficiencies should learn about these fungal infections to properly guide travel planning and have this possibility in the diagnostic arsenal when the patient returns from endemic areas. After 13 months of treatment, the patient showed good clinical evolution, and we repeated imaging exams, showing partial improvement of the preview lesions. Diagnosis and treatment can prevent catastrophic events.
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