title: Splenic abscess caused by Blastomyces dermatitidis in association with peritoneal involvement: case report and review.
abstract: We report a rare case of a patient with blastomycosis who presented with splenic abscess and peritoneal involvement. This case is unique in that no historical or radiographic evidence of antecedent pulmonary infection was apparent and therapy with orally administered ketoconazole was effective. We reviewed the English-language literature on blastomycotic splenic abscess and compared findings from other cases with findings from the current case.
authors.affiliation: Department of Medicine, St. Michael's Hospital, University of Toronto, Ontario, Canada.
authors.forename: H J
authors.initials: HJ
authors.lastname: MacDonald
authors.forename: I W
authors.initials: IW
authors.lastname: Fong
authors.forename: G W
authors.initials: GW
authors.lastname: Gardiner
authors.forename: D I
authors.initials: DI
authors.lastname: Soutter
mesh_terms: D000038:Abscess / Q000150:complications* / Q000188:drug therapy; D001201:Ascites / Q000150:complications* / Q000188:drug therapy; D001759:Blastomycosis / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000150:complications* / Q000188:drug therapy; D013158:Splenic Diseases / Q000150:complications* / Q000188:drug therapy; D000267:Tissue Adhesions
chemical_list: D007654:Ketoconazole