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Disseminated blastomycosis in a 36-year-old immunocompetent male from Chicago, IL
Blastomycosis is a fungal infection caused by Blastomyces species. This infection is endemic to North America particularly states bordering the Mississippi, Ohio and St Lawrence Rivers, and the Great Lakes but also occurs worldwide. While the most common site of infection is the lung, it can also ma...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151315/ https://www.ncbi.nlm.nih.gov/pubmed/30263127 http://dx.doi.org/10.1093/omcr/omy071 |
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author | Goico, Ana Henao, Jose Tejada, Karla |
author_facet | Goico, Ana Henao, Jose Tejada, Karla |
author_sort | Goico, Ana |
collection | PubMed |
description | Blastomycosis is a fungal infection caused by Blastomyces species. This infection is endemic to North America particularly states bordering the Mississippi, Ohio and St Lawrence Rivers, and the Great Lakes but also occurs worldwide. While the most common site of infection is the lung, it can also manifest in the bones, skin and central nervous system. Blastomycosis is a great masquerader and it can present in a manner difficult to distinguish from bacterial pneumonia, tuberculosis (TB), histoplasmosis or carcinoma. Here, we describe a 36-year-old male with disseminated blactomycosis infection who presented with right arm weakness. Initial diagnostic evaluation was cofounded by a previous concern for TB; however, broncho-alveolar lavage confirmed Blastomyces spp. Pulmonary and brain lesions markedly improved after Amphotericin and Itraconazole. |
format | Online Article Text |
id | pubmed-6151315 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61513152018-09-27 Disseminated blastomycosis in a 36-year-old immunocompetent male from Chicago, IL Goico, Ana Henao, Jose Tejada, Karla Oxf Med Case Reports Clinical Image Blastomycosis is a fungal infection caused by Blastomyces species. This infection is endemic to North America particularly states bordering the Mississippi, Ohio and St Lawrence Rivers, and the Great Lakes but also occurs worldwide. While the most common site of infection is the lung, it can also manifest in the bones, skin and central nervous system. Blastomycosis is a great masquerader and it can present in a manner difficult to distinguish from bacterial pneumonia, tuberculosis (TB), histoplasmosis or carcinoma. Here, we describe a 36-year-old male with disseminated blactomycosis infection who presented with right arm weakness. Initial diagnostic evaluation was cofounded by a previous concern for TB; however, broncho-alveolar lavage confirmed Blastomyces spp. Pulmonary and brain lesions markedly improved after Amphotericin and Itraconazole. Oxford University Press 2018-09-24 /pmc/articles/PMC6151315/ /pubmed/30263127 http://dx.doi.org/10.1093/omcr/omy071 Text en © The Author(s) 2018. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Clinical Image Goico, Ana Henao, Jose Tejada, Karla Disseminated blastomycosis in a 36-year-old immunocompetent male from Chicago, IL |
title | Disseminated blastomycosis in a 36-year-old immunocompetent male from Chicago, IL |
title_full | Disseminated blastomycosis in a 36-year-old immunocompetent male from Chicago, IL |
title_fullStr | Disseminated blastomycosis in a 36-year-old immunocompetent male from Chicago, IL |
title_full_unstemmed | Disseminated blastomycosis in a 36-year-old immunocompetent male from Chicago, IL |
title_short | Disseminated blastomycosis in a 36-year-old immunocompetent male from Chicago, IL |
title_sort | disseminated blastomycosis in a 36-year-old immunocompetent male from chicago, il |
topic | Clinical Image |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151315/ https://www.ncbi.nlm.nih.gov/pubmed/30263127 http://dx.doi.org/10.1093/omcr/omy071 |
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