Disseminated inoculation blastomycosis in a renal transplant recipient

We report a case of inoculation blastomycosis with dissemination to the lungs. The patient, a renal allograft recipient, was inoculated accidentally at the veterinarian's office where she worked. A nodular lesion appeared at the inoculation site, accompanied by lymphadenopathy and fever. Pulmonary infiltrates developed. Blastomyces dermatitidis was identified by both biopsy and culture from both inoculation site and lungs. Although not previously reported, inoculation blastomycosis can disseminate in an immunocompromised patient.