{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:38:27Z","timestamp":1786653507279,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:p>Adrenal histoplasmosis is an uncommon cause for adrenal insufficiency. The duration of treatment for adrenal histoplasmosis is not clear. Existing treatment regimens advocate antifungals given for periods ranging from 6 months to 2 years. We report here a rare case who showed persistence of histoplasma in adrenal biopsy 7 years after being initially treated with itraconazole for 9 months. This calls for a prolonged therapy with regular review of adrenal morphology and histology in these patients.<\/jats:p>","DOI":"10.4103\/2230-8210.111679","type":"journal-article","created":{"date-parts":[[2013,5,10]],"date-time":"2013-05-10T05:58:04Z","timestamp":1368165484000},"page":"529-531","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Persistence of histoplasma in adrenals 7 years after antifungal therapy"],"prefix":"10.4103","volume":"17","author":[{"given":"Deepak","family":"Kothari","sequence":"first","affiliation":[{"name":"Endocrinology Unit, Dr. RML Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Chopra","sequence":"additional","affiliation":[{"name":"Endocrinology Unit, Dr. RML Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minakshi","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dr. RML Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay K.","family":"Ajmani","sequence":"additional","affiliation":[{"name":"Endocrinology Unit, Dr. RML Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bindu","family":"Kulshreshtha","sequence":"additional","affiliation":[{"name":"Endocrinology Unit, Dr. RML Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260327","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/01.inf.0000196922.46347.66","article-title":"Histoplasmosis","volume":"25","author":"Adderson","year":"2006","journal-title":"Pediatr Infect Dis J"},{"key":"R2-20260327","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1111\/j.1439-0507.2006.01253.x","article-title":"Histoplasmosis: A review for clinicians from non-endemic areas","volume":"49","author":"Wheat","year":"2006","journal-title":"Mycoses"},{"key":"R3-20260327","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1590\/S0037-86822004000100016","article-title":"Histoplasmosis presenting as addisonian crisis in an immunocompetent host","volume":"37","author":"Chedid","year":"2004","journal-title":"Rev Soc Bras Med Trop"},{"key":"R4-20260327","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1001\/archderm.1981.01650110031014","article-title":"Erythema nodosum in an epidemic of histoplasmosis in Indianapolis","volume":"117","author":"Ozols","year":"1981","journal-title":"Arch Dermatol"},{"key":"R5-20260327","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1590\/S0036-46651997000500009","article-title":"Chronic pulmonary histoplasmosis in Brazil: Report of two cases with cavitation diagnosed by transthoracic needle biopsy","volume":"39","author":"Severo","year":"1997","journal-title":"Rev Inst Med Trop Sao Paulo"},{"key":"R6-20260327","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00005792-198001000-00001","article-title":"Disseminated histoplasmosis: Clinical and pathologic correlations","volume":"59","author":"Goodwin","year":"1980","journal-title":"Medicine (Baltimore)"},{"key":"R7-20260327","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/00005792-199011000-00004","article-title":"Disseminated histoplasmosis in the acquired immune deficiency syndrome: Clinical findings, diagnosis and treatment, and review of the literature","volume":"69","author":"Wheat","year":"1990","journal-title":"Medicine (Baltimore)"},{"key":"R8-20260327","doi-asserted-by":"crossref","first-page":"511","DOI":"10.7326\/0003-4819-75-4-511","article-title":"Disseminated histoplasmosis: Results of long-term follow-up. 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