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Blastomycosis Misdiagnosed as Tuberculosis, India
Emerging Infectious Diseases
|August 24, 2019
Summary
Chronic pulmonary blastomycosis is frequently misdiagnosed as tuberculosis. This case highlights the importance of considering blastomycosis in patients with prolonged respiratory symptoms, even after tuberculosis treatment.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Pulmonology
Background:
- Chronic pulmonary blastomycosis is a fungal infection that can mimic tuberculosis.
- Misdiagnosis is common, leading to delayed or incorrect treatment.
Observation:
- A 32-year-old man presented with symptoms suggestive of chronic pulmonary infection.
- He had a travel history to Chicago, Illinois, USA, a known endemic area for blastomycosis.
Findings:
- The patient received 12 months of tuberculosis treatment without improvement.
- A subsequent diagnosis confirmed blastomycosis, underscoring diagnostic challenges.
Implications:
- This case emphasizes the need for increased awareness of blastomycosis in differential diagnoses for pulmonary infections.
- Clinicians should consider endemic fungal infections in patients with relevant travel history and persistent respiratory symptoms.
- Accurate and timely diagnosis of blastomycosis is crucial for effective management and improved patient outcomes.
Keywords:
Blastomyces dermatitidisIndiaTBblastomycosisfungigranulomatuberculosistuberculosis and other mycobacteriaMore Related Videos
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