4.1 Article

Cutaneous blastomycosis: a clue to a systemic disease

Journal

ANAIS BRASILEIROS DE DERMATOLOGIA
Volume 88, Issue 2, Pages 287-289

Publisher

SOC BRASILEIRA DERMATOLOGIA
DOI: 10.1590/S0365-05962013000200022

Keywords

Blastomycosis; Chromoblastomycosis; Coccidioidomycosis; Paracoccidioidomycosis

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A 55-year-old male presented with back pain and slightly tender annular plaques with central ulceration on his face. A skin biopsy revealed scattered yeast with broad based buds. A CT scan of the abdomen revealed a pathologic T12 fracture. Tissue obtained from the spine confirmed budding yeasts. The patient was diagnosed with disseminated blastomycosis. The patient was treated with amphotericin and itraconazole and completely recovered.

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