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Latent disseminated blastomycosis with choroidal involvement
H Lewis1, T M Aaberg, D R Fary
1Department of Ophthalmology, Medical College of Wisconsin, Milwaukee.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|April 1, 1988
Summary
A man contracted blastomycosis (a fungal infection) after travel, presenting with eye, skin, and lung lesions. Prompt treatment with Amphotericin B led to a full recovery with no recurrence.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Mycology
Background:
- Blastomycosis is a serious fungal infection endemic to certain regions.
- Disseminated blastomycosis can affect multiple organ systems, including the eyes, skin, and lungs.
Observation:
- A 36-year-old man presented with blurred vision and cough following travel to a blastomycosis outbreak area.
- Clinical examination revealed a choroidal lesion, skin lesions, and a lung infiltrate.
Findings:
- Histopathology confirmed Blastomyces dermatitidis in a skin lesion.
- Amphotericin B treatment resulted in rapid resolution of ocular and pulmonary manifestations.
Implications:
- This case highlights the importance of considering blastomycosis in patients with relevant travel history and multifocal symptoms.
- Early diagnosis and treatment are crucial for favorable outcomes in disseminated blastomycosis.
- Ocular involvement in blastomycosis requires prompt recognition and management to prevent vision loss.