Anjorin F I, Kazmi R, Malu A O, Lawande R V, Fakunle Y M
Trans R Soc Trop Med Hyg. 1984;78(5):577-80. doi: 10.1016/0035-9203(84)90209-8.
A case of blastomycosis from Zaria, Nigeria is reported. The clinical features were indistinguishable from those of tuberculosis which is very common in this environment. Lack of response to anti-tuberculosis therapy within eight weeks prompted the search for other organisms which resulted in the isolation of Blastomyces dermatitidis. Compatible histological evidence was obtained. Subsequent favourable response to amphotericin B was evident. Infection with this organism should be included in the differential diagnosis of pulmonary and pleural lesions simulating tuberculosis in West Africa.
报告了一例来自尼日利亚扎里亚的芽生菌病病例。其临床特征与在该环境中非常常见的结核病难以区分。在八周内对抗结核治疗无反应促使寻找其他病原体，结果分离出皮炎芽生菌。获得了相符的组织学证据。随后对两性霉素B有明显的良好反应。在西非，对于模拟结核病的肺和胸膜病变进行鉴别诊断时应考虑这种病原体感染。
