Primary Cutaneous Blastomycosis with Secondary Pulmonary Involvement: A Case Report

Shujaa Faryad^1, , Habiba Hussain¹, Mawwra Faryad² and Subramanyam Chittivelu¹

¹Department of Pulmonary & Critical Care Medicine, University of Illinois College of Medicine at Peoria, Peoria, USA

²Department of Pulmonary Medicine, Mayo Hospital, Lahore, Pakistan

Cite this paper:
Shujaa Faryad, Habiba Hussain, Mawwra Faryad and Subramanyam Chittivelu. Primary Cutaneous Blastomycosis with Secondary Pulmonary Involvement: A Case Report. American Journal of Medical Case Reports. 2022; 10(5):160-162. doi: 10.12691/ajmcr-10-5-10

Abstract

Cutaneous blastomycosis is the second most common presentation of Blastomyces Dermatitidis infection. Commonly, skin involvement results from hematogenous spread of infection from a distant site but direct skin involvement can also occur from trauma and animal scratch or bite resulting in cutaneous inoculation blastomycosis. Clinical features of cutaneous blastomycosis are nonspecific and overlap with other fungal and bacterial infections and skin malignancies. A high degree of suspicion is required for diagnosis while evaluating a patient with recurrent skin lesions not responding to antibiotics. In these cases, fungal cultures and histology are of paramount importance for prompt diagnosis and treatment. We present a case of primary cutaneous blastomycosis with secondary lung involvement.

Keywords:
skin infection endemic fungi fungal infection Cutaneous Blastomycosis lung infection disseminated infection

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