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/