The Role of Adrenalectomy in the Management of Cryptococcal Infection

An intraoperative frozen section of the left adrenal mass was obtained, confirming necrotizing granulomatous reaction and numerous budding yeasts consistent with Cryptococcus spp (Figure 2). Discussion Fungal infections of the adrenal glands are a rare cause of primary AI in the United States. 1 Cry...

Full description

Saved in:
Bibliographic Details
Published in:The American surgeon 2024-12, Vol.90 (12), p.3294-3296
Main Authors: Proffitt, Grace A., Hovell, Meghan E., Little, John G., Shorman, Mahmoud A., Nodit, Laurentia M., Vaghaiwalla, Tanaz M.
Format: Article
Language:English
Subjects:
Abdomen
Adrenal glands
Adrenalectomy
Case reports
Endocrinology
Fungal infections
Fungi
Hormones
Immunocompetence
Infectious diseases
Inhalation
Laparoscopy
Medical diagnosis
Meningitis
Mortality
Opportunist infection
Patients
Respiration
Spores
Tuberculosis
Yeast
Yeasts
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:An intraoperative frozen section of the left adrenal mass was obtained, confirming necrotizing granulomatous reaction and numerous budding yeasts consistent with Cryptococcus spp (Figure 2). Discussion Fungal infections of the adrenal glands are a rare cause of primary AI in the United States. 1 Cryptococcal infection of the adrenal glands is a rare and opportunistic infection with only a few case reports identified in the literature and even fewer cases described in the immunocompetent patient population. 3 This case highlights the importance of considering infections other than Mycobacterium tuberculosis and Histoplasma capsulatum as the possible etiology of primary AI. Cryptococcus neoformans is naturally acquired through inhalation of spores found worldwide in soil, decaying wood, or bird droppings and leads more frequently to primary pulmonary infection in immunosuppressed patients.
ISSN:0003-1348
1555-9823
1555-9823
DOI:10.1177/00031348241265138