CTICasesDisseminated Blastomycosis
Imaging findings
Chest radiograph and CT demonstrate diffuse miliary nodules in a random distribution and a larger, dominant pulmonary nodule. Cutaneous photos show multiple ulcerative, crusted, and vesicular skin lesions. Biopsy of the skin lesions confirmed the presence of Blastomyces yeast.
Key takeaways
Blastomycosis is a fungal infection endemic to the Ohio and Mississippi River valleys, the Great Lakes, and the St. Lawrence River. Inhalation of spores leads to pulmonary infection, which can disseminate hematogenously, most commonly to the skin, bones, and genitourinary tract. Cutaneous lesions typically present as crusted, verrucous, or ulcerative plaques, and finding the broad-based budding yeast on biopsy is diagnostic.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Left Pre-hyparterial Accessory BronchusCongenital
- Anomalous Systemic Arterial Supply to the Right Lower LobeCongenital
- Pulmonary Tumor Embolism from Hepatocellular CarcinomaNeoplastic
- Staphylococcus aureus Necrotizing Pneumonia with Macklin PhenomenonInfection
- Cor Triatriatum Sinister with Levoatrial Cardinal VeinCongenital
- Non-Obstructive Cor Triatriatum SinisterCongenital
- Diffuse Pulmonary MeningotheliomatosisNeoplastic
- Cardiac HemangiomaNeoplastic
See all cases from March 10, 2018 →