title: Pulmonary blastomycosis diagnosed in Hawai'i.
abstract: Blastomycosis, a fungal infection caused by Blastomyces dermatitidis, was once thought to be endemic only to the Central and Great Lakes regions of the United States of America. We present the first reported case series of patients documenting the diagnosis of blastomycosis in the Pacific region. In both cases, exposure to endemic areas was retrospectively identified.
authors.affiliation: Tripler Army Medical Center, Honolulu, HI, USA. michael.arnett@amedd.army.mil
authors.forename: Michael V
authors.initials: MV
authors.lastname: Arnett
authors.forename: Susan L
authors.initials: SL
authors.lastname: Fraser
authors.forename: Vincent X
authors.initials: VX
authors.lastname: Grbach
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001758:Blastomyces / Q000302:isolation & purification*; D001759:Blastomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006254:Hawaii; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008172:Lung Diseases, Fungal / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D055815:Young Adult
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B