ADRENAL HISTOPLASMOSIS IN A NON-INSULIN-D EPENDENT DIABETIC PATIENT

Adrenal histoplasmosis is a rare infection that can be misdiagnosed as tuberculosis. We present here a case of adrenal histoplasmosis in a 6 5 year-old male diabetic with marked weight loss. Laboratory investiga tions noticed an inflammatory syndrome and the abdominal computed tomo graphy scanner reported an heterogenous left adrenal mass of 6 cm in d iameter. Hormonal as well as bacteriological studies were negative. Th e patient was operated and the histopathological examination proved th at the mass was a tuberculoma and an anti-tuberculous treatment was st arted. Four months later, the patient suffered from recurrence of symp toms and laboratory investigations confirmed the inflammatory syndrome and the abdominal syndrome and the abdominal computed tomography scan ner showed a right adrenal mass. A surgical biopsy was performed and s pecific fungal researches proved that the lesion ws due to Histoplasma capsulatum. The patient experienced a remarkable improvement under an ti-fungal treatment.