Neck mass resulting from local extension of pulmonary blastomycosis.

Abstract:

:Blastomycosis is an endemic systemic fungal infection that usually involves the lungs and superficial skin. Although head and neck involvement has been reported in the literature, no previous cases of neck mass resulting from direct extension of a pulmonary lesion have been published. We encountered an immunocompetent 31-year-old woman with a rapidly enlarging subcutaneous neck mass and a chronic upper lung infiltrate. Imaging studies showed contiguity between both lesions. Blastomyces dermatitidis was recovered from the sputum, and typical yeast was observed in fungal stains of needle aspirate from the neck mass. The patient responded favorably to a 6-month course of itraconazole. Blastomycosis should be considered in patients with subcutaneous neck masses in areas where this disease is endemic.

journal_name

South Med J

journal_title

Southern medical journal

authors

Hoskere GV,Hubbs DT,Vasquez JE

doi

10.1097/00007611-199810000-00009

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

946-8

issue

10

eissn

0038-4348

issn

1541-8243

journal_volume

91

pub_type

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