Figure 6.

Adrenal histopathology. (A) Hematoxylin and Eosin (H&E) staining ×40. (B) H&E staining ×200. (C) Grocott’s staining ×800. (D) Alcian blue staining ×800. Widespread necrotizing granulomatous inflammation is seen. Epithelioid granuloma is seen along with lymphocytes, plasma cells, and multinucleated giant cells. The epithelioid granuloma is covered with fibrous connective tissue (A, B). In the necrotic tissue, a large number of class round fungal growths are seen that are stained positive with Grocott’s and Alcian blue staining (C, D).