title: Cutaneous blastomycosis: a clue to a systemic disease.
abstract: A 55-year-old male presented with back pain and slightly tender annular plaques with central ulceration on his face. A skin biopsy revealed scattered yeast with broad based buds. A CT scan of the abdomen revealed a pathologic T12 fracture. Tissue obtained from the spine confirmed budding yeasts. The patient was diagnosed with disseminated blastomycosis. The patient was treated with amphotericin and itraconazole and completely recovered.
authors.affiliation: Virginia Comonwealth University (VCU) – Richmond, VA 23298, USA. aortegaloayza2@mcvh-vcu.edu
authors.forename: Alex G
authors.initials: AG
authors.lastname: Ortega-Loayza
authors.forename: Tuyet
authors.initials: T
authors.lastname: Nguyen
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001706:Biopsy; D001759:Blastomycosis / Q000188:drug therapy / Q000473:pathology*; D005148:Facial Dermatoses / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000473:pathology; D016103:Spinal Fractures / Q000175:diagnosis; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B