Blastomycosis Awareness: A Crucial Reminder Amidst the Fifth Pneumonia Episode

Document Type

Article

Publication Date

12-1-2024

Publication Title

Cureus

Abstract

Blastomycosis is a rare fungal infection endemic to North America and parts of Africa. It can be challenging to diagnose until it reaches a critical stage. We present a blastomycosis case in Alabama, emphasizing the importance of early recognition and management. A 67-year-old man had a month of worsening respiratory symptoms, which included malaise, cough, shortness of breath, and fever. Despite multiple urgent care visits and treatments with antibiotics and steroids, his condition continued to deteriorate. He was hospitalized with persistent fever and hypoxia. The imaging revealed patchy lung disease and multifocal consolidations, but initial cultures revealed no growth. He ultimately underwent bronchoscopy for budding yeast consistent with blastomycosis, along with influenza A. Treatment with amphotericin B was started, and there was a significant improvement. This case illustrates the need to consider the diagnosis of blastomycosis in a patient presenting with persistent respiratory symptoms unresponsive to conventional treatments.

PubMed ID

39822404

Volume

16

Issue

12

First Page

75814

Last Page

75814

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