Burying Hatchets into Endemic Diagnoses: Disseminated Blastomycosis from a Potentially Novel Occupational Exposure

Background: Blastomycosis is an endemic fungal disease predominantly observed in the northern regions of North America. It manifests primarily as pulmonary disease but can also involve dissemination to the skin, bones, and genitourinary tract. Detailed Case Description: We describe a case of a patie...

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Main Authors: Kusha Davar, Arthur Jeng, Suzanne Donovan
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/8/7/371
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author Kusha Davar
Arthur Jeng
Suzanne Donovan
author_facet Kusha Davar
Arthur Jeng
Suzanne Donovan
author_sort Kusha Davar
collection DOAJ
description Background: Blastomycosis is an endemic fungal disease predominantly observed in the northern regions of North America. It manifests primarily as pulmonary disease but can also involve dissemination to the skin, bones, and genitourinary tract. Detailed Case Description: We describe a case of a patient in Southern California with disseminated blastomycosis following his occupational exposure to decaying wood. The patient was treated with intravenous amphotericin therapy followed by oral itraconazole therapy with full resolution of his symptoms. Conclusions: The patient’s case presentation serves as a reminder regarding Blastomyces infections diagnosed outside of endemic regions and suggests a potential link between blastomycosis and a novel occupational exposure surrounding axe throwing.
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spelling doaj.art-2709c2238b10444b9c9985847f72e6872023-11-18T21:39:17ZengMDPI AGTropical Medicine and Infectious Disease2414-63662023-07-018737110.3390/tropicalmed8070371Burying Hatchets into Endemic Diagnoses: Disseminated Blastomycosis from a Potentially Novel Occupational ExposureKusha Davar0Arthur Jeng1Suzanne Donovan2Department of Medicine, Division of Infectious Diseases, University of California Los Angeles, Los Angeles, CA 90095, USADepartment of Medicine, Division of Infectious Diseases, Olive View-University of California Los Angeles, Los Angeles, CA 91342, USADepartment of Medicine, Division of Infectious Diseases, Olive View-University of California Los Angeles, Los Angeles, CA 91342, USABackground: Blastomycosis is an endemic fungal disease predominantly observed in the northern regions of North America. It manifests primarily as pulmonary disease but can also involve dissemination to the skin, bones, and genitourinary tract. Detailed Case Description: We describe a case of a patient in Southern California with disseminated blastomycosis following his occupational exposure to decaying wood. The patient was treated with intravenous amphotericin therapy followed by oral itraconazole therapy with full resolution of his symptoms. Conclusions: The patient’s case presentation serves as a reminder regarding Blastomyces infections diagnosed outside of endemic regions and suggests a potential link between blastomycosis and a novel occupational exposure surrounding axe throwing.https://www.mdpi.com/2414-6366/8/7/371blastomycosis<i>Blastomyces dermatitidis</i>endemic fungiaxe throwingoccupational exposure
spellingShingle Kusha Davar
Arthur Jeng
Suzanne Donovan
Burying Hatchets into Endemic Diagnoses: Disseminated Blastomycosis from a Potentially Novel Occupational Exposure
Tropical Medicine and Infectious Disease
blastomycosis
<i>Blastomyces dermatitidis</i>
endemic fungi
axe throwing
occupational exposure
title Burying Hatchets into Endemic Diagnoses: Disseminated Blastomycosis from a Potentially Novel Occupational Exposure
title_full Burying Hatchets into Endemic Diagnoses: Disseminated Blastomycosis from a Potentially Novel Occupational Exposure
title_fullStr Burying Hatchets into Endemic Diagnoses: Disseminated Blastomycosis from a Potentially Novel Occupational Exposure
title_full_unstemmed Burying Hatchets into Endemic Diagnoses: Disseminated Blastomycosis from a Potentially Novel Occupational Exposure
title_short Burying Hatchets into Endemic Diagnoses: Disseminated Blastomycosis from a Potentially Novel Occupational Exposure
title_sort burying hatchets into endemic diagnoses disseminated blastomycosis from a potentially novel occupational exposure
topic blastomycosis
<i>Blastomyces dermatitidis</i>
endemic fungi
axe throwing
occupational exposure
url https://www.mdpi.com/2414-6366/8/7/371
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AT suzannedonovan buryinghatchetsintoendemicdiagnosesdisseminatedblastomycosisfromapotentiallynoveloccupationalexposure