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  • Title: Histoplasmosis presenting as addisonian crisis in an immunocompetent host.
    Author: Chedid MF, Chedid AD, Geyer GR, Chedid MB, Severo LC.
    Journal: Rev Soc Bras Med Trop; 2004; 37(1):60-2. PubMed ID: 15042187.
    Abstract:
    A 71-year-old man with presumptively treated pulmonary tuberculosis ten years earlier and previous alcoholism presented with adrenal insufficiency. HIV serology was negative. A computerized tomography scan of the abdomen showed enlarged right adrenal. He recovered after emergency treatment with hydrocortisone IV. Right adrenalectomy was performed. Histoplasmosis was diagnosed and the patient was treated with itraconazole, corticosteroid replacement, and discharged with good health.
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