CTICasesMiliary Blastomycosis with Prostatitis
Imaging findings
Chest radiograph and CT show diffuse, miliary micro-nodules throughout both lungs without lymphadenopathy. Abdominal/pelvic CT shows a necrotic abscess of the prostate. Sputum/prostate cultures confirmed Blastomyces dermatitidis.
Key takeaways
Blastomycosis is an endemic fungal infection that can disseminate in miliary fashion, mimicking tuberculosis. Extrapulmonary involvement can occasionally involve the prostate, presenting as prostatic abscesses.
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