| Literature DB >> 29530850 |
Kevin Kuriakose1, Whitney J Nesbitt2, Matthew Greene3, Bryan Harris3.
Abstract
A woman in her late 60s with disseminated histoplasmosis was treated with posaconazole because first-line therapies were not tolerated. She subsequently presented with decompensated heart failure, hypertension, and hypokalemia. Laboratory tests revealed low renin and aldosterone levels. A potential mechanism is inhibition of the enzyme 11β-hydroxysteroid dehydrogenase 2, with resultant apparent mineralocorticoid excess.Entities:
Keywords: aldosterone; hypertension; hypokalemia; mineralocorticoid; posaconazole; pseudohyperaldosteronism
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Substances:
Year: 2018 PMID: 29530850 PMCID: PMC5923153 DOI: 10.1128/AAC.02130-17
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191