Varied Presentation of Fulminant Blastomycosis with Prostatitis and Acute Respiratory Distress Syndrome in a Patient With High Inoculum Inhalation: A Review of Diagnosis and Management.

高接种物吸入患者暴发性芽生菌病伴前列腺炎和急性呼吸窘迫综合征的不同表现 ： 诊断和管理综述。

• 发表时间: Aug 2020 12
• 来源期刊: Cureus
• DOI: 10.7759/cureus.9686
• PMID: 32923279
• 文章类型: Case Reports
• 作者列表: Gandam Venkata SK,Gieswein J,Bhuram SS

关键词: ards (acute respiratory distress syndrome); blastomyces dermatitidis; endemic infections; fungal lung infection; fungal prostatitis; pulmonary blastomycosis

Abstract

Blastomycosis is an uncommon granulomatous disease caused by infection with thermally dimorphic fungi of the genus Blastomyces. Although pulmonary infections from Blastomyces dermatitidis are uncommon, it is important to understand the geographical distribution, presentation, diagnosis, and management of treating this condition. We report a case of fulminant blastomycosis after high inoculum inhalation, with involvement of the prostate on presentation, which progressed to acute respiratory distress syndrome.

摘要

芽生菌病是一种罕见的肉芽肿性疾病，由胚芽菌属的热二形真菌感染引起。虽然皮肤胚芽的肺部感染并不常见，了解地理分布很重要，介绍,诊断,以及治疗这种情况的管理。我们报告了一例高接种量吸入后暴发性胚真菌病，出现时前列腺受累，进展为急性呼吸窘迫综合征。