Chronic Paracoccidioidomycosis with adrenal involvement mimicking tuberculosis – A case report from Austria

Gernot Wagner; Deddo Moertl; Axel Eckhardt; Ulrich Sagel; Friedrich Wrba; Karl Dam; Birgit Willinger

doi:10.1016/j.mmcr.2016.12.002

Medical Mycology Case Reports (Dec 2016)

Chronic Paracoccidioidomycosis with adrenal involvement mimicking tuberculosis – A case report from Austria

Gernot Wagner,
Deddo Moertl,
Axel Eckhardt,
Ulrich Sagel,
Friedrich Wrba,
Karl Dam,
Birgit Willinger

Affiliations

Gernot Wagner: Clinical Department of Internal Medicine II, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria
Deddo Moertl: Clinical Department of Internal Medicine III, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria
Axel Eckhardt: Clinical Department of Internal Medicine II, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria
Ulrich Sagel: Institute for Hygiene and Microbiology, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria
Friedrich Wrba: Department of Clinical Pathology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria
Karl Dam: Clinical Department of Internal Medicine II, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, Propst-Fuehrer-Strasse 4, 3100 St. Poelten, Austria
Birgit Willinger: Division of Clinical Microbiology, Department of Laboratory Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria

DOI: https://doi.org/10.1016/j.mmcr.2016.12.002
Journal volume & issue: Vol. 14, no. C
pp. 12 – 16

Abstract

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Paracoccidioidomycosis is a systemic fungal infection caused by Paracoccidioides brasiliensis and endemic in certain areas of Central and South America. We report a case of a 62-year-old-man with a complex history of tuberculosis and imaging findings of a cerebral lesion and bilateral adrenal enlargement. Biopsy of adrenal gland revealed Paracoccidioides brasiliensis. This case highlights the importance of travel history for diagnosis of paracoccidioidomycosis in non-endemic areas and emphasizes the clinical and histopathological similarities with tuberculosis.

Published in Medical Mycology Case Reports

ISSN: 2211-7539 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General); Science: Biology (General)
Website: https://www.journals.elsevier.com/medical-mycology-case-reports/

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