Hashim Samaher, Barrios Christopher
University of Tabouk, Tabuk, Tabuk, Saudi Arabia.
IDCases. 2020 May 14;21:e00786. doi: 10.1016/j.idcr.2020.e00786. eCollection 2020.
Blastomycosis is a fungal infection caused by Blastomyces dermatitidis, a dimorphic fungus endemic in the soils of the Ohio and Mississippi River Vallys, Great Lakes region, and southeastern United States. It most commonly manifests as a pulmonary infection following inhalation of spores, which causes a broad array of clinical manifestations ranging from asymptomatic infection to fulminant sepsis with acute respiratory distress syndrome and death. Extrapulmonary disease occurs in approximately 25-30% of patients following hematogenous spread from the lungs, with skin being the most common site of exytrapulmonary disease. Here we present a case of disseminated blastomycosis in a healthy 48 year old female.
芽生菌病是由皮炎芽生菌引起的一种真菌感染，皮炎芽生菌是一种二态真菌，在俄亥俄河和密西西比河流域、五大湖地区以及美国东南部的土壤中流行。它最常见的表现是吸入孢子后引起肺部感染，可导致一系列临床表现，从无症状感染到伴有急性呼吸窘迫综合征和死亡的暴发性败血症。约25%-30%的患者在肺部血行播散后会出现肺外疾病，皮肤是肺外疾病最常见的部位。在此，我们报告一例48岁健康女性播散性芽生菌病的病例。
