The importance of skin exam in chronic pulmonary blastomycosis
Cutaneous blastomycosis is the most common extrapulmonary manifestation of disseminated blastomycosis, a disease caused by Blastomyces dermatitidis, a dimorphic fungus endemic of North America. Initially, the organism enters the respiratory system by inhalation of the infectious conidia and produces...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250920301207 |
| _version_ | 1819156454020481024 |
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| author | Elena G. Caldito Oyintayo Ajiboye Estefania Flores Camila Antia Patricia Demarais |
| author_facet | Elena G. Caldito Oyintayo Ajiboye Estefania Flores Camila Antia Patricia Demarais |
| author_sort | Elena G. Caldito |
| collection | DOAJ |
| description | Cutaneous blastomycosis is the most common extrapulmonary manifestation of disseminated blastomycosis, a disease caused by Blastomyces dermatitidis, a dimorphic fungus endemic of North America. Initially, the organism enters the respiratory system by inhalation of the infectious conidia and produces an acute pulmonary infection that may eventually disseminate if it is left untreated. Blastomycosis may represent a diagnostic challenge and its definitive diagnosis requires direct visualization of the distinctive yeast or a positive fungal culture. The objective of this case report is to highlight the importance of the skin exam and tissue biopsy in the diagnosis of blastomycosis. We present a previously healthy patient with chronic pneumonia, evaluated at Pulmonary clinic with non-diagnostic thoracentesis and bronchoscopy, found to have disseminated blastomycosis after biopsy of a scalp lesion in Dermatology clinic. |
| first_indexed | 2024-12-22T15:53:07Z |
| format | Article |
| id | doaj.art-6fbba902bcb74caaade5f824c56423a8 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-12-22T15:53:07Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-6fbba902bcb74caaade5f824c56423a82022-12-21T18:20:51ZengElsevierIDCases2214-25092020-01-0120e00812The importance of skin exam in chronic pulmonary blastomycosisElena G. Caldito0Oyintayo Ajiboye1Estefania Flores2Camila Antia3Patricia Demarais4Department of Medicine, Cook County Health and Hospital System, Chicago, IL, USA; Corresponding author at: 901 South Ashland Apt 513, Chicago, IL, 60607, USA.Department of Medicine, Cook County Health and Hospital System, Chicago, IL, USADepartment of Medicine, Cook County Health and Hospital System, Chicago, IL, USADepartment of Dermatology, Cook County Health and Hospital System, Chicago, IL, USADepartment of Infectious Diseases, Cook County Health and Hospital System, Chicago, IL, USACutaneous blastomycosis is the most common extrapulmonary manifestation of disseminated blastomycosis, a disease caused by Blastomyces dermatitidis, a dimorphic fungus endemic of North America. Initially, the organism enters the respiratory system by inhalation of the infectious conidia and produces an acute pulmonary infection that may eventually disseminate if it is left untreated. Blastomycosis may represent a diagnostic challenge and its definitive diagnosis requires direct visualization of the distinctive yeast or a positive fungal culture. The objective of this case report is to highlight the importance of the skin exam and tissue biopsy in the diagnosis of blastomycosis. We present a previously healthy patient with chronic pneumonia, evaluated at Pulmonary clinic with non-diagnostic thoracentesis and bronchoscopy, found to have disseminated blastomycosis after biopsy of a scalp lesion in Dermatology clinic.http://www.sciencedirect.com/science/article/pii/S2214250920301207BlastomycosisCutaneous blastomycosisDisseminated blastomycosisPneumoniaScalp |
| spellingShingle | Elena G. Caldito Oyintayo Ajiboye Estefania Flores Camila Antia Patricia Demarais The importance of skin exam in chronic pulmonary blastomycosis IDCases Blastomycosis Cutaneous blastomycosis Disseminated blastomycosis Pneumonia Scalp |
| title | The importance of skin exam in chronic pulmonary blastomycosis |
| title_full | The importance of skin exam in chronic pulmonary blastomycosis |
| title_fullStr | The importance of skin exam in chronic pulmonary blastomycosis |
| title_full_unstemmed | The importance of skin exam in chronic pulmonary blastomycosis |
| title_short | The importance of skin exam in chronic pulmonary blastomycosis |
| title_sort | importance of skin exam in chronic pulmonary blastomycosis |
| topic | Blastomycosis Cutaneous blastomycosis Disseminated blastomycosis Pneumonia Scalp |
| url | http://www.sciencedirect.com/science/article/pii/S2214250920301207 |
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