title: Fine needle aspiration cytology of primary isolated splenic Blastomyces dermatitidis. A case report.
abstract: BACKGROUND
  Blastomyces dermatitidis is a dimorphic fungus; its usual port of entry is the lung. Although any organ system can be secondarily involved, non-pulmonary sites of primary infection have been reported.
  
  
  METHODS
  This is the first reported case of primary isolated splenic B dermatitidis. The diagnostic value of fine needle aspiration cytology was examined by comparing it with the only previously reported case of primary (not isolated) splenic B dermatitidis.
  
  
  CONCLUSIONS
  In patients with splenic involvement by B dermatitidis, cytologic evaluation can be prompt and diagnostic. FNA biopsy in patients with splenomegaly is safe and well tolerated.
authors.affiliation: Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Montes
authors.forename: S
authors.initials: S
authors.lastname: DiNisco
authors.forename: S
authors.initials: S
authors.lastname: Dry
authors.forename: E
authors.initials: E
authors.lastname: Galvanek
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D001758:Blastomyces; D001759:Blastomycosis / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D013154:Spleen / Q000473:pathology*; D013163:Splenomegaly / Q000175:diagnosis / Q000473:pathology*