case_images: PMC7103037_01
case_images: CECT abdomen showing bilateral adrenal masses (white arrows).
case_images: CRIM2020-8506746.001.jpg
case_images: PMC7103037_01_CRIM2020-8506746.001.jpg
case_images: fig1
case_images: An urgent CECT chest and abdomen revealed bilateral well-defined homogenously enhancing adrenal masses (left side-6.9 * 3.7 * 5 cm and right side-5.3 * 3.4 * 5.4 cm in size) with mild hepatosplenomegaly and patchy para-aortic lymphadenopathy (Figure 1).
case_images: Gomori methenamine silver (GMS) stained adrenal biopsy specimen. Some of the fungal spore clusters are shown with white arrows.
case_images: CRIM2020-8506746.002.jpg
case_images: PMC7103037_01_CRIM2020-8506746.002.jpg
case_images: fig2
case_images: With the Gomori-Grocott methenamine silver (GMS) staining, there were numerous fungal spores which were morphologically similar to Histoplasma in the necrotic and adjacent tissues (Figure 2).