A challenging case of pyrexia of unknown origin: adrenal histoplasmosis mimicking tuberculosis in a patient with chronic hepatitis C. (October 2021)

• Record Type: Journal Article
• Authors: Ramesh, Venkat; Narreddy, Suneetha; Gowrishankar, Swarnalata; Barigala, Ravikiran; Nanda, Sagarika
• Is Part Of: Tropical doctor. Volume 51:Number 4(2021)
• Page Start: 621
• Page End: 623
• Publication Date: 2021-10
• Subjects: Asia -- fungal infections -- diagnosis -- endocrine -- tuberculosis; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/0049475518819622
• Languages: English
• ISSNs: 0049-4755

Abstract

We present an unusual case of fever of unknown origin with bilateral adrenal masses in a patient with compensated chronic liver disease (compensated) due to hepatitis C who had been treated elsewhere with four months of anti-tuberculous therapy for suspected disseminated tuberculosis (TB). At our institution, he underwent a CT-guided biopsy of the adrenal lesion which to our surprise did not reveal any evidence of TB but a close mimic.