[Blastomycosis in Morocco: imported mycosis].
Blastomycosis is a rare case. We report a first Moroccan case. A 41-year-old male presented with a 6-month history of dyspnea, fever and significant chest pain associated with night sweats and weight loss. The physical examination disclosed a firm painful paravertebral mass. The chest radiograph demonstrated a left apical opacity. The thoracic scan showed parenchymal infiltration of the apico-dorsal segment of the left upper lobe with vertebral and costal lytic lesions. Surgical biopsy showed granulomatous inflammation with giant-cell intracytoplasmic inclusions. Fungal studies yielded Blastomyces dermatitidis which responded excellently to ketoconazole. Outcome has been excellent at 3.5 years months follow-up. The clinical and radiographic presentation of blastomycosis is non-specific and can be mistaken for a neoplasm. Delay in diagnosis is common.
Service d'anatomie pathologie, faculté de médecine et de pharmacie, CHU Mohammed VI, université Cadi Ayyad, Marrakech, Maroc.
H
H
Rais
F
F
Jghaimi
H
H
Baalal
Y
Y
Naji
L
L
Essaadouni
O
O
Essadki
A
A
Oussehal
M
M
Mejjati
S
S
Aitbenali
A Alaoui
AA
Elyazidi
B
B
Belaabidia
D000328:Adult; D001759:Blastomycosis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use*; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D008297:Male; D009018:Morocco; D011859:Radiography
D007654:Ketoconazole