Craft P P
Department of Family Medicine, East Carolina University School of Medicine, Greenville, NC 27858-4354, USA.
J Fam Pract. 1995 Jun;40(6):597-600.
Blastomycosis is a fungal disease endemic to the midwestern and southeastern United States. This is a case report of a 29-year-old woman who presented with weight loss, fever, fatigue, and pneumonia. She developed disseminated blastomycosis, adult respiratory distress syndrome (ARDS), and ulcerative skin lesions, requiring mechanical ventilation, amphotericin B, and multiple surgeries. Blastomycosis is endemic to a large portion of the United States. Family physicians should consider fungal infection in the differential diagnosis of an unresolving pneumonia.
芽生菌病是一种在美国中西部和东南部流行的真菌病。这是一例29岁女性的病例报告，该患者出现体重减轻、发热、疲劳和肺炎症状。她发展为播散性芽生菌病、成人呼吸窘迫综合征（ARDS）和溃疡性皮肤病变，需要机械通气、两性霉素B治疗以及多次手术。芽生菌病在美国大部分地区流行。家庭医生在对持续性肺炎进行鉴别诊断时应考虑真菌感染。
