Non-HIV AIDS presenting with adrenal histoplasmosis and pulmonary tuberculosis: a mesmerising case report and discussion


  • Arnab Banerjee Department of Internal Medicine, IPGMER, Kolkata
  • Mithun Biswas Department of Anaesthesiology, NRSMCH, Kolkata
  • Niladri Sarkar Department of Internal Medicine, IPGMER, Kolkata



Non-HIV AIDS, Idiopathic CD4 lymphocytopenia, Adrenal histoplasmosis, Tuberculosis, Immunosuppression, Adrenal failure


Non-HIV AIDS or idiopathic CD4 lymphocytopenia (ICL) is an acquired immunodeficiency syndrome resulting in CD4 lymphopenia without any evidence of HIV infection or any other apparent cause of immunosuppression.  A non-diabetic patient presented with adrenal histoplasmosis and UTI leading to adrenal failure. No immediate cause of immunosuppression was found, HIV, HTLV screening were negative. A CD4 count was done and the patient was found to be having non-HIV AIDS (idiopathic CD4 lymphocytopenia). He was treated and discharged. Few months later the patient presented again with adrenal failure & pulmonary tuberculosis. Adrenal FNAC showed persisting adrenal histoplasmosis. CD4 count found to be low again, but this time it was worse than the previous scenario.


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How to Cite

Banerjee, A., Biswas, M., & Sarkar, N. (2017). Non-HIV AIDS presenting with adrenal histoplasmosis and pulmonary tuberculosis: a mesmerising case report and discussion. International Journal of Research in Medical Sciences, 3(9), 2463–2467.



Case Reports