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Isolated cryptococcosis of the adrenal gland
Author(s) -
LIU YUNGCHING,
CHENG DEHLIN,
LIU CHENGYI,
YEN MUHYONG,
WANG RANSHANG
Publication year - 1991
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1111/j.1365-2796.1991.tb00445.x
Subject(s) - medicine , cryptococcosis , adrenal gland , mycosis , amphotericin b , cryptococcus neoformans , granuloma , diabetes mellitus , pathology , adrenal insufficiency , surgery , antifungal , dermatology , endocrinology , biology , genetics
Abstract. A case of isolated adrenal cryptococcosis is reported. A patient with a history of diabetes mellitus had symptoms of left flank pain. Roentgenological and sonographic findings of the adrenal gland were indicative of a malignant tumour. Tissue obtained from surgery showed fungal granuloma and a poorly encapsulated cryptococcal organism was identified by special stains. A post‐operative serum cryptococcal antigen test was positive, and the patient was successfully treated with surgery and a course of amphotericin B. After a 7‐month follow‐up period, there is no evidence of recurrence or dissemination.