title: Disseminated blastomycosis presenting as mastoiditis and epidural abscess.
abstract: Blastomycosis is a systemic fungal infection that affects primarily the lungs. Head and neck involvement has been reported most commonly in the larynx as well as oral and nasal mucosa. Temporal bone involvement is extremely rare. We report a case of disseminated blastomycosis presenting as mastoiditis and epidural abscess. We discuss the importance of early diagnosis and prompt initiation of treatment for optimal outcome.
authors.forename: Chadia A
authors.initials: CA
authors.lastname: Makary
authors.forename: Thomas D
authors.initials: TD
authors.lastname: Roberts
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Wetmore
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001759:Blastomycosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D020802:Epidural Abscess / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008416:Mastoid / Q000000981:diagnostic imaging / Q000473:pathology; D008417:Mastoiditis / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
chemical_list: D000935:Antifungal Agents