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Histoplasmosis presenting as bilateral adrenal masses: Cytomorphological diagnosis of three cases
Author(s) -
Ahuja Arvind,
Mathur Sandeep R.,
Iyer Venkateshwaran K.,
Sharma Surendra K.,
Kumar Narender,
Agarwal Shipra
Publication year - 2012
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.21660
Subject(s) - histoplasmosis , medicine , histoplasma capsulatum , differential diagnosis , histoplasma , fungal disease , fine needle aspiration , pathology , medical diagnosis , dermatology , radiology , biopsy
Histoplasmosis is a worldwide infectious disease caused by inhalation of spores of a fungus, called Histoplasma capsulatum . Adrenals can be involved as a part of disseminated infection in immunocompromized patients. However, histoplasmosis presenting primarily as a bilateral adrenal masses in an immunocompetent patient is very unusual and rare. We encountered three such cases in which fine‐needle aspiration (FNA) performed under ultrasonographic (USG) guidance from bilateral adrenal masses primarily established the diagnosis. This report emphasizes the importance of considering localized fungal infection as differential diagnoses of mass lesions involving bilateral adrenals even if the patients are immunocompetent, along with the commoner lesions at these sites. Diagn. Cytopathol. 2012. © 2011 Wiley Periodicals, Inc.