Disseminated Blastomyces dermatitidis infection in a non-endemic area. A case report.

In areas where tuberculosis is endemic other causes of respiratory infection are often overlooked. A pulmonary infiltrate associated with skin lesions without a microbiological diagnosis of tuberculosis should arouse suspicion of a fungal infection. This was demonstrated in a patient in whom Blastomyces dermatitidis, a rare pathogen in southern Africa, was isolated.