Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient

Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient

Histoplasmosis usually affects immunocompromised patients. Histoplasmosis infiltration to the adrenal in an immunocompetent host is rare, more so those who presented with adrenal insufficiency. We report a case of 54-year-old previously fit and healthy man who presented with chronic headache of tw...

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Main Authors: Shahar, Mohammad Arif, Ab Wahab, Norasyikin, AbAziz, Aini, Omar , Ahmad Marzuki, Mohd Rusly, Noor Ashikin, Kamaruddin, Nor Azmi
Format: Article
Language:English
Published: Ministry of Health and Universiti Brunei Darussalem 2015
Subjects:
R Medicine (General)
RC Internal medicine
Online Access:http://irep.iium.edu.my/49649/
http://irep.iium.edu.my/49649/
http://irep.iium.edu.my/49649/1/Bimj2015115261.pdf
id iium-49649
recordtype eprints
spelling iium-496492017-11-30T02:35:31Z http://irep.iium.edu.my/49649/ Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient Shahar, Mohammad Arif Ab Wahab, Norasyikin AbAziz, Aini Omar , Ahmad Marzuki Mohd Rusly, Noor Ashikin Kamaruddin, Nor Azmi R Medicine (General) RC Internal medicine Histoplasmosis usually affects immunocompromised patients. Histoplasmosis infiltration to the adrenal in an immunocompetent host is rare, more so those who presented with adrenal insufficiency. We report a case of 54-year-old previously fit and healthy man who presented with chronic headache of two months duration that was associated with loss of appetite and weight-loss. He had hypotension, hyponatremia, relative hyperkalemia with morning cortisol of 160 nmol/L. Computed tomography of the adrenals showed bilateral enlarged adrenal glands and biopsy confirmed histoplasmosis infiltration. Treatment successfully ameliorate symptoms of hypocortisolism. This case illustrates that immunocompetent patient is still susceptible to adrenal histoplasmosis resulting in adrenal insufficiency. Ministry of Health and Universiti Brunei Darussalem 2015-10 Article PeerReviewed application/pdf en http://irep.iium.edu.my/49649/1/Bimj2015115261.pdf Shahar, Mohammad Arif and Ab Wahab, Norasyikin and AbAziz, Aini and Omar , Ahmad Marzuki and Mohd Rusly, Noor Ashikin and Kamaruddin, Nor Azmi (2015) Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient. Brunei International Medical Journal, 11 (5). pp. 261-264. ISSN 2079-3146 (O), 1560-5876 (P) http://www.bimjonline.com/Current%20Issues/currentissues.htm
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
RC Internal medicine
spellingShingle R Medicine (General)
RC Internal medicine
Shahar, Mohammad Arif
Ab Wahab, Norasyikin
AbAziz, Aini
Omar , Ahmad Marzuki
Mohd Rusly, Noor Ashikin
Kamaruddin, Nor Azmi
Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient
description Histoplasmosis usually affects immunocompromised patients. Histoplasmosis infiltration to the adrenal in an immunocompetent host is rare, more so those who presented with adrenal insufficiency. We report a case of 54-year-old previously fit and healthy man who presented with chronic headache of two months duration that was associated with loss of appetite and weight-loss. He had hypotension, hyponatremia, relative hyperkalemia with morning cortisol of 160 nmol/L. Computed tomography of the adrenals showed bilateral enlarged adrenal glands and biopsy confirmed histoplasmosis infiltration. Treatment successfully ameliorate symptoms of hypocortisolism. This case illustrates that immunocompetent patient is still susceptible to adrenal histoplasmosis resulting in adrenal insufficiency.
format Article
author Shahar, Mohammad Arif
Ab Wahab, Norasyikin
AbAziz, Aini
Omar , Ahmad Marzuki
Mohd Rusly, Noor Ashikin
Kamaruddin, Nor Azmi
author_facet Shahar, Mohammad Arif
Ab Wahab, Norasyikin
AbAziz, Aini
Omar , Ahmad Marzuki
Mohd Rusly, Noor Ashikin
Kamaruddin, Nor Azmi
author_sort Shahar, Mohammad Arif
title Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient
title_short Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient
title_full Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient
title_fullStr Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient
title_full_unstemmed Adrenal insufficiency resulting from Histoplasmosis infiltration in an immunocompetent patient
title_sort adrenal insufficiency resulting from histoplasmosis infiltration in an immunocompetent patient
publisher Ministry of Health and Universiti Brunei Darussalem
publishDate 2015
url http://irep.iium.edu.my/49649/
http://irep.iium.edu.my/49649/
http://irep.iium.edu.my/49649/1/Bimj2015115261.pdf
first_indexed 2023-09-18T21:10:10Z
last_indexed 2023-09-18T21:10:10Z
_version_ 1777411199254659072

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