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Peritoneal blastomycosis.

G Perez-Lasala¹, R L Nolan, S W Chapman

¹Division of Infectious Diseases, University of Mississippi Medical Center, Jackson.

The American Journal of Gastroenterology

|March 1, 1991

Summary

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Blastomycosis, a fungal infection, rarely affects the peritoneum. This case highlights chronic peritonitis as the sole symptom, diagnosed via laparoscopy, expanding understanding of this rare manifestation.

Area of Science:

Medical Mycology
Infectious Diseases
Gastroenterology

Background:

Blastomycosis is a systemic fungal infection caused by Blastomyces dermatitidis.
Peritoneal involvement in blastomycosis is exceptionally rare, with only two prior cases linked to disseminated disease.
Gastrointestinal and peritoneal blastomycosis literature is limited.

Observation:

A unique case of histopathologically confirmed blastomycosis presenting solely as chronic peritonitis is detailed.
The patient's presentation was unusual, lacking signs of disseminated blastomycosis.
Diagnosis was achieved through laparoscopic examination.

Findings:

This case represents the first documented instance of blastomycosis manifesting exclusively as chronic peritonitis.

Related Experiment Videos

Laparoscopy proved crucial for diagnosing peritoneal blastomycosis in this unique presentation.

The study reviews and contextualizes previous reports of gastrointestinal and peritoneal blastomycosis.

Implications:

This case expands the known clinical spectrum of Blastomyces dermatitidis infections.
Highlights the importance of considering fungal infections in unexplained chronic peritonitis.
Suggests laparoscopy as a valuable diagnostic tool for rare peritoneal infections.