Disseminated blastomycosis. (2020)

• Record Type: Journal Article
• Authors: Hashim, Samaher; Barrios, Christopher
• Is Part Of: IDCases. Volume 21(2020)
• Publication Date: 2020
• Subjects: Blastomycosis -- Verrucous skin lesions -- Broad-based budding yeast -- Itraconazole; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2020.e00786
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: Blastomycosis is a fungal infection caused by Blastomyces dermatitidis, a dimorphic fungus endemic in the soils of the Ohio and Mississippi River Vallys, Great Lakes region, and southeastern United States. It most commonly manifests as a pulmonary infection following inhalation of spores, which causes a broad array of clinical manifestations ranging from asymptomatic infection to fulminant sepsis with acute respiratory distress syndrome and death. Extrapulmonary disease occurs in approximately 25–30% of patients following hematogenous spread from the lungs, with skin being the most common site of exytrapulmonary disease. Here we present a case of disseminated blastomycosis in a healthy 48 year old female.