Department of Respiratory Diseases, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Chin Med J (Engl). 2011 Dec;124(24):4368-71.
Blastomycosis is a fungal disease that is endemic in parts of North America. It is very rare in China and also commonly misdiagnosed, often as cancer or other infectious diseases. The clinical profile of a case of disseminated blastomycosis with pulmonary changes and skin ulcers was described. He had been misdiagnosed with tuberculosis, after adequate therapy with a lipid formulation of amphotericin B, followed by itraconazole, the lung and skin lesions improved. Then the five cases reported in China and literatures were reviewed. The aim of this report was to improve the knowledge regarding blastomycosis for physicians in China to avoid delaying adequate therapy.
球孢子菌病是一种真菌病，流行于北美的部分地区。在中国非常罕见，也常被误诊，常被误诊为癌症或其他传染病。本文描述了一例播散性球孢子菌病伴肺部改变和皮肤溃疡的病例。他曾被误诊为肺结核，经两性霉素 B 脂质体充分治疗后，继以伊曲康唑治疗，肺部和皮肤病变改善。然后回顾了中国和文献中的 5 例病例。本报告的目的是提高中国医生对球孢子菌病的认识，避免延误适当的治疗。
