CTICasesPulmonary Blastomycosis mimicking community-acquired pneumonia
Imaging findings
CT chest shows a focal left lower lobe consolidation with mild cavitation, adjacent ground-glass opacities, and modest mediastinal/hilar lymphadenopathy.
Key takeaways
Blastomycosis is a fungal infection endemic to the Ohio and Mississippi River valleys and Great Lakes. It frequently presents as a localized consolidation mimicking bacterial community-acquired pneumonia, but fails to respond to standard antibiotics.
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