Abstract

Disseminated Blastomycosis: A Case Report

Highlights

  • Blastomyces dermatitidis is the etiologic agent of blastomycosis, called North Americanblastomycosis

  • The patient was not evaluated on endemic grounds for Blastomyces where he was working for couple of years

  • Reed et al, conclude that B. dermatitidis in the soil can be a reservoir for human infection and has shown thatin Wisconsin, blastomycosis in humans has been a reportable disease since 1985 [2,3]

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Summary

Introduction

Blastomyces dermatitidis is the etiologic agent of blastomycosis, called North Americanblastomycosis. Before admission patient was a follow-up case of Bilateral non-resolving pneumonia of lowerlobe with right sided pneumonic effusion on modified Anti Tuberculous treatment (ATT) since 2 months & 19 days His respiratory illness started 6 months back & was evaluated extensively outside with ChestX ray, C T Chest, T B biopsy, CT-guided Trucut biopsy. Broad based budding and thickened cell walls and globose shape Figure 2: Yeast form from the brownish blood-tinged pus sample collected from the right thigh. On 18th December 2011 he was discharged in clinically stable condition & was on regularfollow-up on OPD basis As his liver parameters were deranged his ATT was further modified & MACOXPLUS (Rifampicin & Isoniazid) was stopped & continued other ATTdrugs (Figure 4). Bits of tissue scraped along the edges of the ulcer were sent for histopathological examination

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