title: Blastomycosis in a young African man presenting with a pleural effusion.
abstract: Blastomyces dermatitidis is a dimorphic fungus endemic to north-western Ontario, Manitoba and some parts of the United States. The fungus is also endemic to parts of Africa. Pulmonary and extrapulmonary findings of a 24-year-old African man who presented with weight loss, dry cough and chronic pneumonia not resolving with antibiotic treatment are presented. The unusual occurrence of pulmonary blastomycosis associated with skin lesions and a moderate pleural effusion is reported.
authors.affiliation: Department of Medicine, University of Ottawa, Ottawa, Ontario. galvarez@ohri.ca
authors.forename: G G
authors.initials: GG
authors.lastname: Alvarez
authors.forename: B F
authors.initials: BF
authors.lastname: Burns
authors.forename: M
authors.initials: M
authors.lastname: Desjardins
authors.forename: S R
authors.initials: SR
authors.lastname: Salahudeen
authors.forename: F
authors.initials: F
authors.lastname: AlRashidi
authors.forename: D W
authors.initials: DW
authors.lastname: Cameron
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001759:Blastomycosis / Q000175:diagnosis* / Q000188:drug therapy; D006760:Hospitalization; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D009864:Ontario; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012867:Skin / Q000473:pathology; D013636:Tanzania / Q000208:ethnology
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole