Abstract
Purpose
While histoplasmosis has been reported from most continents, the disease is most often recognized in the midwestern United States. The recent diagnosis of adrenal hypofunction in two patients with progressive disseminated histoplasmosis (PDH) in our hospital led us to review the literature.
Methods
We reviewed PubMed using the search term “adrenal histoplasmosis” for the years 1971 to 2012.
Results
The results included 242 patients with adrenal histoplasmosis from either case reports or case series. Most of the reported patients were from countries not previously considered to be heavily endemic for histoplasmosis. In addition, 41.3 % of patients with adrenal involvement developed adrenal hypofunction.
Conclusion
As modern technology elucidates more cases of adrenal histoplasmosis, the global boundaries of endemicity are being redefined.
Similar content being viewed by others
References
Laureti S, Vecchi L, Santeusanio F, Falorni A. Is the prevalence of Addison’s disease underestimated? J Clin Endocrinol Metab. 1999;84:1762.
Alevritis EM, Sarubbi FA, Jordan RM, Peiris AN. Infectious causes of adrenal insufficiency. South Med J. 2003;96:888–90.
Paolo WF Jr, Nosanchuk JD. Adrenal infections. Int J Infect Dis. 2006;10(5):343–53.
Sarosi GA, Voth DW, Dahl BA, Doto IL, Tosh FE. Disseminated histoplasmosis: results of long-term follow-up a center for disease control cooperative mycoses study. Ann Intern Med. 1971;75:511–6.
Addison T. On the constitutional and local effects of disease of the suprarenal capsules. London; 1855.
Jr Goodwin RA, Shapiro JL, Thurman GH, Thurman SS, Des Prez RM. Disseminated histoplasmosis: clinical and pathologic correlations. Medicine. 1980;59:1–33.
Kumar N, Singh S, Govil S. Adrenal histoplasmosis: clinical presentation and imaging features in nine cases. Abdom Imaging. 2003;28:703–8.
Mukherjee JJ, Villa ML, Tan L, Lee KO. Bilateral adrenal masses due to histoplasmosis. J Clin Endocrinol Metab. 2005;90:6725–6.
Rozenblit AM, Kim A, Tuvia J, Wenig BM. Adrenal histoplasmosis manifested as Addison’s disease: unusual CT features with magnetic resonance imaging correlation. Clin Radiol. 2001;56:682–4.
Lucke JC. Thoracic mycotic and actinomycotic infections of the lung. In: Shields TW, editor. General thoracic surgery. Lippincott Williams & Wilkins; 2005. p. 1262–89.
Wheat LJ, Slama TG, Eitzen HE, Kohler RB, French ML, Biesecker JL. A large urban outbreak of histoplasmosis: clinical features. Ann Intern Med. 1981;94:331–7.
Kauffman CA, Yoshikawa TT. Fungal infections in older adults. Clin Infect Dis. 2001;33:550–5.
McLeod DSA, Mortimer RH, Perry-Keene DA, Allworth A, Woods ML, Perry-Keene J, McBride WJH, Coulter C, Robson JMB. Histoplasmosis in Australia: report of 16 cases and literature review. Medicine. 2011;90:61–8.
Browne SK, Burbelo PD, Chetchotisakd P, Suputtamongkol Y, Kiertiburanakul S, Shaw PA, Kirk JL, Jutivorakool K, Zaman R, Ding L, Hsu AP, Patel SY, Olivier KN, Lulitanond V, Mootsikapun P, Anunnatsiri S, Angkasekwinai N, Sathapatayavongs B, Hsueh P-R, Shieh C-C, Brown MR, Thongnoppakhun W, Claypool R, Sampaio EP, Thepthai C, Waywa D, Dacombe C, Reizes Y, Zelazny AM, Saleeb P, Rosen LB, Mo A, Iadarola M, Holland SM. Adult-onset immunodeficiency in Thailand and Taiwan. N Engl J Med. 2012;367:725–34.
Carvalho FP, Curiati JA, Mauad T, Incerti MM, Jacob Filho W. Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly. Brazil J Infect Diseases Off Publn Brazil Soc Infect Diseases. 2007;11:160–2.
WHO Global Tuberculosis Programme. WHO Fact sheet no.104. 2010. http://www.who.int/mediacentre/factsheets/fs104/en/index.html.
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
An erratum to this article is available at http://dx.doi.org/10.1007/s15010-015-0767-9.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Koene, R.J., Catanese, J. & Sarosi, G.A. Adrenal hypofunction from histoplasmosis: a literature review from 1971 to 2012. Infection 41, 757–759 (2013). https://doi.org/10.1007/s15010-013-0486-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15010-013-0486-z