Abstract：
Primary cutaneous blastomycosis is a rare presentation of infection caused by direct inoculation of a wound. We present a 61-year-old male with an extensive history of wound dehiscence and wound care noncompliance after a bite from a brown recluse spider on the left thigh while on vacation in Cape Cod in September of 2020. After antibiotic therapy and culture, treatment involved debridement, split thickness skin grafting, strict wound vacuum-assisted closure care, and oral itraconazole. This brief demonstrates a case of blastomycosis arising from trauma in a non-endemic region for infection and serves as an example of successful management of the longstanding wound.
摘要：
原发性皮肤芽生菌病是由直接接种伤口引起的感染的罕见表现。我们介绍了一名61岁的男性，他在2020年9月在科德角度假时，左大腿上的棕色隐居蜘蛛咬伤后，有广泛的伤口开裂和伤口护理不合规史。经过抗生素治疗和培养，治疗包括清创，分裂厚度植皮，严格的伤口真空辅助闭合护理，和口服伊曲康唑.这份简报证明了在非流行地区因感染引起的创伤而引起的芽生菌病，并作为成功治疗长期伤口的一个例子。
