Cutaneous blastomycosis without evidence of pulmonary involvement.
Blastomycosis is an infection that is often associated with recent military, occupational, or recreational activities near damp soil in various endemic regions, including the Great Lakes and major river valleys in the Midwest as well as various overseas regions. In the great majority of cases, the d...
| Publicado en: | Military Medicine Vol. 168; no. 8; pp. 651 - 654 |
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| Autores principales: | , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106702413&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106702413 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00264075 4DV jtl: Military Medicine issn: 00264075 maglogo: N pubinfo: dt: Aug2003 vid: 168 iid: 8 pid: 622 pub: Oxford University Press / USA artinfo: ui: 106702413 NLM12943042 2004033900 10.1093/milmed/168.8.651 NLM12943042 106702413 ppf: 651 ppct: 3 formats: fmt: @attributes: type: P tig: atl: Cutaneous blastomycosis without evidence of pulmonary involvement. aug: au: Clinton TS Timko AL Clinton, Tony S Timko, Anthony L affil: USS Tranquillity Branch Medical Clinic, Naval Hospital, Great Lakes, IL 60088, USA sug: subj: Dermatomycoses Pathology Adult Dermatomycoses Drug Therapy Illinois Itraconazole Therapeutic Use Male Skin Pathology Treatment Outcomes White Persons Adult: 19-44 years Male ab: Blastomycosis is an infection that is often associated with recent military, occupational, or recreational activities near damp soil in various endemic regions, including the Great Lakes and major river valleys in the Midwest as well as various overseas regions. In the great majority of cases, the disease presents as a primary pulmonary disease with or without extrapulmonary involvement. We present a case of cutaneous blastomycosis with no evidence of pulmonary or other systemic involvement. With such presentations, the disease is presumed to have spread hematogenously with the asymptomatic or minimal primary pulmonary infection having resolved spontaneously. The patient's diagnosis was made with positive cultures and histologic examinations revealing features that are quite characteristic of blastomycosis. The patient responded to treatment with itraconazole for 6 months with no recurrence after 1 year. A high index of suspicion must be maintained when evaluating patients with progressive ulcerating or verrucous lesions that do not respond to traditional antibiotic therapy, especially with a history of recent activities in the endemic regions. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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