A challenging case of pyrexia of unknown origin: adrenal histoplasmosis mimicking tuberculosis in a patient with chronic hepatitis C.

  • PubMed
  • May 4, 2025
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A challenging case of pyrexia of unknown origin: adrenal histoplasmosis mimicking tuberculosis in a patient with chronic hepatitis C.

Autor: Ramesh, Venkat; Narreddy, Suneetha; Gowrishankar, Swarnalata; Barigala, Ravikiran; Nanda, Sagarika

Publication year: 2021

Tropical doctor

issn:1758-1133 0049-4755

doi: 10.1177/0049475518819622


Abstract:

We present an unusual case of fever of unknown origin with bilateral adrenal masses in a patient with compensated chronic liver disease (compensated) due to hepatitis C who had been treated elsewhere with four months of anti-tuberculous therapy for suspected disseminated tuberculosis (TB). At our institution, he underwent a CT-guided biopsy of the adrenal lesion which to our surprise did not reveal any evidence of TB but a close mimic.

Language: eng

Rights:

Pmid: 30591000

Tags: Humans; Male; diagnosis; Tomography, X-Ray Computed; tuberculosis; Asia; Fever/etiology; endocrine; *Hepatitis C, Chronic/complications/diagnosis; *Histoplasmosis/complications/diagnosis/drug therapy; *Tuberculosis/complications/diagnosis/drug therapy; fungal infections

Link: https://pubmed.ncbi.nlm.nih.gov/30591000/

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