Computed Tomographic Scan Evaluation of Pulmonary Blastomycosis

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dc.contributor.authorRonald, Suzanne
dc.contributor.authorStrzelczyk, Jacek
dc.contributor.authorMoore, Sean
dc.contributor.authorTrepman, Elly
dc.contributor.authorCheang, Mary
dc.contributor.authorLimerick, Bill
dc.contributor.authorWiebe, Lyle
dc.contributor.authorSarsfield, Pete
dc.contributor.authorMacDonald, Kerry
dc.contributor.authorMeyers, Michael
dc.contributor.authorEmbil, John M
dc.date.accessioned2016-06-08T16:01:34Z
dc.date.available2016-06-08T16:01:34Z
dc.date.issued2009-1-1
dc.date.updated2016-06-07T06:57:11Z
dc.description.abstractBACKGROUND: Blastomycosis is an uncommon granulomatous pulmonary and extrapulmonary infectious disease caused by the thermally dimorphic fungus Blastomyces dermatitidis. Diagnosis may be delayed or difficult because of varied presentation. The characteristics of blastomycosis on computed tomographic (CT) scan of the chest are not well characterized.METHODS: The images from 34 chest CT scans from patients with confirmed pulmonary blastomycosis were retrospectively reviewed.RESULTS: The most common CT findings were air bronchograms in 22 patients (65%), consolidation in 21 patients (62%), nodules (smaller than 3 cm) in 21 patients (62%) and lymph node enlargement (mediastinal and hilar nodes combined) in 12 patients (35%). Only four patients (12%) had a miliary pattern.CONCLUSIONS: A specific abnormality characteristic of pulmonary blastomycosis was not identified on CT scanning. The diagnosis can only be made in the context of a high index of clinical suspicion with histological or culture confirmation.
dc.description.versionPeer Reviewed
dc.identifier.citationSuzanne Ronald, Jacek Strzelczyk, Sean Moore, et al., “Computed Tomographic Scan Evaluation of Pulmonary Blastomycosis,” Canadian Journal of Infectious Diseases and Medical Microbiology, vol. 20, no. 4, pp. 112-116, 2009. doi:10.1155/2009/763018
dc.identifier.urihttp://dx.doi.org/10.1155/2009/763018
dc.identifier.urihttp://hdl.handle.net/1993/31381
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderCopyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titleComputed Tomographic Scan Evaluation of Pulmonary Blastomycosis
dc.typeJournal Article
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