Systemic blastomycosis diagnosed by prostate needle biopsy.
A healthy 51-year-old man presented with a 1-month history of lower urinary tract irritative symptoms. Urinalysis was suggestive of infection, and the patient was treated with multiple antibiotics without relief of symptoms. A urological exam demonstrated abnormal induration of the prostate gland. Biopsy of the prostate gland revealed Blastomyces dermatitidis. In areas where Blastomyces dermatitidis is endemic, clinicians should be aware of the presence of this fungus and possible sites of infection.
Neal
Peter M
PM
Department of Urology, Marshfield Clinic Indianhead Center, 1020 Lakeshore Drive, Rice Lake, WI 54868, USA. neal.peter@marshfieldclinic.org
Nikolai
Anne
A
D044963:Biopsy, Fine-Needle; D001758:Blastomyces; D001759:Blastomycosis / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000382:microbiology / Q000473:pathology*; D011469:Prostatic Diseases / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*