Can Respir J. 2013 Sep-Oct;20(5):340-2. doi: 10.1155/2013/646854. Epub 2013 May 28.
In certain parts of the United States and Canada, and northern Ontario in particular, the dimorphic fungus Blastomyces dermatitidis is endemic and can cause infection in exposed individuals. The site of infection is usually pulmonary, causing respiratory and constitutional symptoms, but can also affect other sites in the body. Symptom severity can vary substantially from no symptoms to fatal acute respiratory distress syndrome. The present report describes a 27-year-old professional diver who had recently worked in northern Ontario, who developed symptoms of pneumonia and exhibited atypical findings on chest imaging. He was diagnosed with blastomycosis based on histopathological findings and fungal culture, and was treated with amphotericin B and itraconazole in accordance with treatment guidelines. While outdoor occupations in endemic areas increase the risk of infection, there is no literature specifically identifying professional diving as an occupational risk for blastomycosis.
在美国和加拿大的某些地区，特别是安大略省北部，二相型真菌皮炎芽生菌是地方性的，会使暴露于其中的个体感染。感染部位通常是肺部，引起呼吸道和全身症状，但也可能影响身体的其他部位。症状的严重程度差异很大，从无症状到致命的急性呼吸窘迫综合征不等。本报告描述了一名 27 岁的专业潜水员，他最近在安大略省北部工作，出现了肺炎症状，并在胸部成像上出现了非典型表现。根据组织病理学发现和真菌培养，他被诊断为芽生菌病，并根据治疗指南接受了两性霉素 B 和伊曲康唑治疗。虽然在流行地区从事户外职业会增加感染的风险，但没有文献专门确定专业潜水是芽生菌病的职业风险。
