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Blastomycosis in a young African man presenting with a pleural effusion
Authors:GG Alvarez   BF Burns   M Desjardins   SR Salahudeen   F AlRashidi     DW Cameron
Affiliation:1Department of Medicine, University of Ottawa, Ottawa, Ontario;2Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, Ontario;3Department of Radiology, University of Ottawa, Ottawa, Ontario
Abstract:
Blastomyces dermatitidis is a dimorphic fungus endemic to northwestern Ontario, Manitoba and some parts of the United States. The fungus is also endemic to parts of Africa. Pulmonary and extrapulmonary findings of a 24-year-old African man who presented with weight loss, dry cough and chronic pneumonia not resolving with antibiotic treatment are presented. The unusual occurrence of pulmonary blastomycosis associated with skin lesions and a moderate pleural effusion is reported.
Keywords:Blastomyces dermatitidis   Pleural effusions   Skin ulcers
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