Fine Needle Aspiration Biopsy in the Diagnosis of Disseminated Histoplasmosis of the Adrenal Glands

A Vijayananthan, BJJ Abdullah, SP Chan

Hong Kong J Radiol 2003;6:152-4

Disseminated histoplasmosis is a rare and potentially fatal disease caused by the dimorphic soil fungus Histoplasma capsulatum. This report is of a 66-year-old man who was initially diagnosed with a tooth abscess that was revealed to be histoplasmosis at biopsy. Subsequently, this patient presented with histoplasmosis of the vocal cords and hypoadrenalism. Computed tomography-guided biopsy accurately diagnosed the presence of bilateral adrenal histoplasmosis and he was successfully treated with itraconazole.