Is Blastomycosis Endemic in Upstate New York?: A Case Report and Review of Literature

JBJS Case Connect. 2020 Apr-Jun;10(2):e0553. doi: 10.2106/JBJS.CC.19.00553.

Abstract

Case: We describe a case of biopsy-proven blastomycosis in a patient residing in Upstate New York with osseous and skin lesions and no pulmonary or constitutional symptoms. The patient had a rapid resolution of symptoms after the initiation of antifungal treatment, followed by curettage and cementation of her distal femoral lesion.

Conclusions: Orthopaedic surgeons should be aware of the presence of blastomycosis in nonendemic areas, especially since bone involvement may be the predominant manifestation. Tissue should be submitted for both histologic and microbiologic analysis. Antifungal therapy and surgical management if needed can result in a good outcome.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Blastomyces / isolation & purification
  • Blastomycosis / diagnosis*
  • Blastomycosis / therapy
  • Bone Diseases / diagnosis*
  • Bone Diseases / microbiology*
  • Bone Diseases / therapy
  • Female
  • Humans
  • Middle Aged