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Pustular blastomycosis.

Kristopher R Fisher1, Vickie Baselski, Gwen Beard

  • 1Division of Dermatology, Department of Medicine, University of Tennessee Health Science Center, 956 Court Ave, Coleman Bldg, Room D322, Memphis, TN 38163, USA.

Journal of the American Academy of Dermatology
|July 21, 2009
PubMed
Summary
This summary is machine-generated.

Pustular blastomycosis presents uniquely in three patients from Memphis, TN, with initial pustular lesions that did not progress to typical ulcerative forms. This highlights a distinct clinical presentation of Blastomyces dermatitidis infection.

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Area of Science:

  • Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Blastomycosis is a fungal infection caused by Blastomyces dermatitidis.
  • Cutaneous blastomycosis often presents as ulcerative or verrucous plaques.
  • Pustular lesions can occur but are less common.

Purpose of the Study:

  • To report on three cases of pustular blastomycosis.
  • To describe the unique clinical presentation of pustular blastomycosis.
  • To add to the understanding of Blastomyces dermatitidis infections in Memphis, TN.

Main Methods:

  • Case report of three patients (two children, one adult).
  • Clinical observation of cutaneous lesions.
  • Review of medical history and geographical location.

Main Results:

  • All three patients presented with pustular cutaneous lesions at the onset and throughout their illness.
  • Lesions did not evolve into the more typical verrucous or ulcerative plaques.
  • All patients resided in Memphis, TN, an area with known Blastomyces dermatitidis endemicity.

Conclusions:

  • Pustular blastomycosis represents a distinct clinical variant of Blastomyces dermatitidis infection.
  • The presentation may differ from classic ulcerative or verrucous forms.
  • Geographic location, such as Memphis, TN, is relevant for Blastomycosis diagnosis.