Bilateral adrenal histoplasmosis: endoscopic ultrasound – guided fine needle aspiration as a method of diagnosis and assessment

Jaafar, Khairul Azhar and Hwang Siok Gek, Jacqueline and Lim Kiat Hon, Tony and Tan , Ban Hock and Mesenas, Steven (2011) Bilateral adrenal histoplasmosis: endoscopic ultrasound – guided fine needle aspiration as a method of diagnosis and assessment. Medical Journal of Malaysia, 66 (5). pp. 502-504. ISSN 0300-5283

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Abstract

We report a case of a healthy 78 -year- old indonesian man who presented with chronic weight loss, poor appetite and lethargy. CT abdomen showed bilateral adrenal masses. Endoscopic ultrasound(EUS) – guided FNA was performed on the left adrenal gland. The histopathology report was Histoplasma Capsulatum. He recovered well with antifungal treatment without any complication. In this case, we found that the role of EUS – guided FNA was not only limited to diagnosis but also helped in the prognosis of the disease since the method was able to assess the general anatomy of the adrenal gland better than other imaging modalities due to its close proximity and direct visualization.

Item Type:	Article (Journal)
Additional Information:	3739/16148
Uncontrolled Keywords:	Bilateral adrenal masses , EUS ( Endoscopic Ultrasound ) – guided FNA ( Fine needle Aspiration), Histoplasma Capsulatum
Subjects:	R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Ms Rosyidah Taju Rahim
Date Deposited:	16 Jan 2012 14:13
Last Modified:	26 Jun 2013 15:17
URI:	http://irep.iium.edu.my/id/eprint/16148

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