Disseminated blastomycosis

Assaly, Ragheb A. MD
Hammersley, Jeffrey R. MD
Olson, Dan E. MD, PhD
Farrouk, Azmi MD
Zaher, Aiman MD
Amurao, Guillermo V. MD
Shelley, Walter B. MD, PhD
Shelley, E. Dorinda MD
Amurao, Cristine V. MD

Toledo, Ohio
From the Department of Medicine, Divisions of Pulmonary/Critical Care^a and Dermatology,^b and Department of Pathology,^c Medical College of Ohio.

Funding sources: None.

Conflict of interest: None identified.

Reprint requests: Walter B. Shelley, MD, PhD, Division of Dermatology, Department of Medicine, Medical College of Ohio, Ruppert Health Center, 3120 Glendale Ave, Toledo, OH 43614-5809.

0190-9622/2003/$30.00 + 0

doi:10.1067/mjd.2003.64

Journal of the American Academy of Dermatology 48(1):p 123-127, January 2003.

A 26-year-old veiled Saudi-Arabian woman presented with hemoptysis, and multiple nodules and abscesses. A skin biopsy specimen revealed yeast forms consistent with Blastomyces dermatitidis. Fungal cultures from bronchoscopy and skin specimens also grew B dermatitidis. She was treated with oral itraconazole (200 mg twice a day). Both lung and skin lesions showed improvement within 6 weeks. (J Am Acad Dermatol 2003;48:123-7.)