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Cutaneous inoculation blastomycosis.

Nathan A Gray1, Larry M Baddour

  • 1Section of Infectious Diseases, Department of Medicine, Graduate School of Medicine, University of Tennessee Medical Center at Knoxville, Knoxville, TN 37920, USA. nagray@mc.utmck.edu

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|May 1, 2002
PubMed
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Cutaneous inoculation blastomycosis is a rare fungal infection. This case highlights a patient inoculated by a projectile, prompting a review of similar cases to better understand this syndrome.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Blastomycosis is a systemic fungal infection caused by Blastomyces.
  • Cutaneous blastomycosis typically results from hematogenous or lymphatogenous spread.
  • Inoculation blastomycosis via direct skin trauma is an uncommon presentation.

Observation:

  • A case of cutaneous inoculation blastomycosis is presented.
  • The patient sustained a skin injury from a projectile during yard work.
  • This led to the development of blastomycosis at the inoculation site.

Findings:

  • Direct inoculation of Blastomyces into the skin can cause localized infection.
  • Review of existing literature reveals limited but similar cases.
  • Characterization of this rare syndrome is improved by this case report.

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Implications:

  • Clinicians should consider blastomycosis in patients with relevant exposure history and skin lesions.
  • Prompt diagnosis and treatment are crucial for managing cutaneous inoculation blastomycosis.
  • Further research is needed to fully understand the epidemiology and clinical spectrum of this rare fungal infection.