PMID- 22746052 OWN - NLM STAT- MEDLINE DCOM- 20120904 LR - 20190823 IS - 0387-5911 (Print) IS - 0387-5911 (Linking) VI - 86 IP - 3 DP - 2012 May TI - [A case of paracoccidioidomycosis with severe adrenal insufficiency]. PG - 291-4 AB - Paracoccidioidomycosis (PCM) is the most common systemic fungal disease in central-south America, but is rare in Japan. We experiensed a case of PCM in a patient, who came from Bolivia and presented with mouth pain and reduced dietary intake but no fever. Adrenal insufficiency was diagnosed with extremely high serum adrenocorticotropic hormone (ACTH) and was resolved with hormone supplementation. The PCM was treated with trimethoprim-sulfamethoxazole which was switched to itraconazole and improvement was achieved. FAU - Yoshimura, Yukihiro AU - Yoshimura Y AD - Department of Infectious Disease, Yokohoma Municipal Citizens' Hospital. FAU - Tachikawa, Natsuo AU - Tachikawa N FAU - Oosawa, Takayuki AU - Oosawa T FAU - Kosuge, Youko AU - Kosuge Y FAU - Kamei, Katsuhiko AU - Kamei K LA - jpn PT - Case Reports PT - English Abstract PT - Journal Article PL - Japan TA - Kansenshogaku Zasshi JT - Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases JID - 0236671 RN - 0 (Antifungal Agents) RN - 304NUG5GF4 (Itraconazole) SB - IM MH - Adrenal Insufficiency/*complications MH - Antifungal Agents/therapeutic use MH - Bolivia/ethnology MH - Humans MH - Itraconazole/therapeutic use MH - Male MH - Middle Aged MH - Paracoccidioidomycosis/*complications/drug therapy EDAT- 2012/07/04 06:00 MHDA- 2012/09/05 06:00 CRDT- 2012/07/04 06:00 PHST- 2012/07/04 06:00 [entrez] PHST- 2012/07/04 06:00 [pubmed] PHST- 2012/09/05 06:00 [medline] AID - 10.11150/kansenshogakuzasshi.86.291 [doi] PST - ppublish SO - Kansenshogaku Zasshi. 2012 May;86(3):291-4. doi: 10.11150/kansenshogakuzasshi.86.291.