Petrik Duncan, Hoare Dylan, MacGillivray Megan, Ricciuto Daniel
Royal Victoria Regional Health Centre, 201 Georgian Dr, Barrie, ON, L4M 6M2, Canada.
Lakeridge Health Oshawa, Hospital Ct, Oshawa, ON, L1G 8A2, Canada.
Urol Case Rep. 2024 Dec 15;58:102907. doi: 10.1016/j.eucr.2024.102907. eCollection 2025 Jan.
is a fungal pathogen endemic to North America. Infection from inhalation of its conidia has diffuse clinical manifestations. These can include genitourinary system infections which may manifest as ulcerative, draining skin lesions. Tissue culture is essential as anerobic bacteria and fungi grow more reliably through this medium, than with tissue swabs. A more accurate and efficient diagnosis of blastomycosis, as evidenced in this case, would have prevented prolonged treatment for presumed bacterial epididymo-orchitis and would have eliminated concern regarding possible disseminated malignancy.
是一种北美特有的真菌病原体。吸入其分生孢子引起的感染有多种临床表现。这些表现可包括泌尿生殖系统感染，可能表现为溃疡性、有渗出的皮肤病变。组织培养至关重要，因为厌氧菌和真菌在这种培养基中比在组织拭子上生长得更可靠。如本病例所示，对芽生菌病进行更准确、高效的诊断，本可避免对疑似细菌性附睾炎或睾丸炎进行长期治疗，并消除对可能的播散性恶性肿瘤的担忧。
