A 43-year-old woman presented with a 3-month history of a nonproductive cough, intermittent,
nonradiating, left-sided chest pain, and 2 episodes of small-volume hemoptysis. She
also reported a lesion on her left arm that was present for 1 month. This lesion was
similar to a prior lesion involving her right arm that had drained spontaneously.
Additionally, she reported a 15-kg weight loss over the preceding year. She did not
report fever, chills, night sweats, or dyspnea. She had a 10-pack-year smoking history,
having quit smoking 3 years prior. She had no family history of malignancy. There
had been no travel outside of Toronto, Canada. She did not report any history of exposure
to tuberculosis or asbestos.
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References
- Beyond skin deep: thoracic manifestations of systemic disorders affecting the skin.Radiographics. 2011; 31: 1651-1668
- Imaging of pulmonary-cutaneous disorders: matching the radiologic and dermatologic findings.Radiographics. 1996; 16: 855-869
- Clinical and laboratory update on blastomycosis.Clin Microbiol Rev. 2010; 23: 367-381
- Computed tomographic scan evaluation of pulmonary blastomycosis.Can J Infect Dis Med Microbiol. 2009; 20: 112-116
- Imaging manifestations of blastomycosis: a pulmonary infection with potential dissemination.Radiographics. 2007; 27: 641-655
- Update on cutaneous tuberculosis.An Bras Dermatol. 2014; 89: 925-938
- Mycoplasma pneumoniae-induced cutaneous disease.Int J Dermatol. 2009; 48: 673-681
- Radiographic features of Mycoplasma pneumoniae pneumonia: differential diagnosis and performance timing.BMC Med Imaging. 2009; 9: 1-8
- Imaging manifestations of Kaposi sarcoma.Radiographics. 2006; 26: 1169-1185
- Melanoma: clinical presentations.Melanoma. 2016; : 107-129
- Cutaneous manifestations of lung cancer.Semin Oncol. 2016; 43: 366-369
- Diagnosis and classification of granulomatosis with polyangiitis (aka Wegener's granulomatosis).J Autoimmun. 2014; 48: 94-98
- The cutaneous spectrum of lupus erythematosus.Clin Rev Allergy Immunol. 2017; 53: 291-305
- Pulmonary manifestations of Sjögren syndrome, systemic lupus erythematosus, and mixed connective tissue disease.Rheum Dis Clin North Am. 2015; 41: 263-277
- Epidemiologic aspects of blastomycosis, the enigmatic systemic mycosis.Semin Respir Infect. 1986; 1: 29-39
- Epidemiology and geographic distribution of blastomycosis, histoplasmosis, and coccidioidomycosis, Ontario, Canada, 1990–2015.Emerg Infect Dis. 2018; 24: 1257-1266
- Blastomycosis in Ontario, 1994-2003.Emerg Infect Dis. 2006; 12: 274-279
- Novel cases of blastomycosis acquired in Toronto, Ontario.CMAJ. 2000; 163: 1309-1312
- Blastomycosis acquired by three children in Toronto.Can J Infect Dis. 2002; 13: 259-263
- Blastomycosis.Infect Dis Clin North Am. 2016; 30: 247-264
- Blastomycosis in immunocompromised patients.Medicine. 1993; 72: 311-325
- Ketoconazole therapy for endemic blastomycosis.Ann Intern Med. 1985; 103: 872-879
- Overwhelming pulmonary blastomycosis associated with the adult respiratory distress syndrome.N Engl J Med. 1993; 329: 1231-1236
- Fungal infections.in: Tomashefski JF Cagle PT Farver CF Fraire AE Dail and Hammar's Pulmonary Pathology. Springer, New York2008: 349-425
- Blastomyces antigen detection for diagnosis and management of blastomycosis.J Clin Microbiol. 2015; 53: 3660-3662
- Cross-reactivity in Histoplasma capsulatum variety capsulatum antigen assays of urine samples from patients with endemic mycoses.Clin Infect Dis. 1997; 24: 1169-1171
- Clinical practice guidelines for the management of blastomycosis: 2008 update by the Infectious Diseases Society of America.Clin Infect Dis. 2008; 46: 1801-1812
Article Info
Publication History
Published online: May 27, 2022
Thomas J. Marrie, MD, Section EditorPublication stage
In Press Journal Pre-ProofFootnotes
Funding: None.
Conflicts of Interest: None.
Authorship: All authors had a role in writing the manuscript. WLG conceptualized the article, JT and JP drafted the initial manuscript, and all authors contributed to the writing and revision of the manuscript.
Identification
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© 2022 Elsevier Inc. All rights reserved.
