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Ravikiran Barigala on Muck Rack

Ravikiran Barigala

As seen in: Memory Studies, Canadian Journal of Infectious Diseases & Medical Microbiology
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Articles

A challenging case of pyrexia of unknown origin: adrenal histoplasmosis mimicking tuberculosis in a patient with chronic hepatitis C

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By Swarnalata Gowrishankar, Venkat Ramesh, Suneetha Narreddy, Ravikiran Barigala
| Memory Studies
We present an unusual case of fever of unknown origin with bilateral adrenal masses in a patient with compensated chronic liver disease (compensated) due to hepatitis C who had been treated elsewhere with four months of anti-tuberculous therapy for suspected disseminated tuberculosis (TB). At our institution, he underwent a CT-guided biopsy of the adrenal lesion which to our surprise did not reveal any evidence of TB but a close mimic.
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