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Double Take on Double Vision: Invasive Rhinosinusitis From Blastomyces dermatitidis in an Adolescent With Well-Controlled Diabetes. J Pediatric Infect Dis Soc 2022 Feb 23;11(2):81-84

Date

12/11/2021

Pubmed ID

34888690

DOI

10.1093/jpids/piab115

Scopus ID

2-s2.0-85125212575

Abstract

Blastomyces dermatitidis is a fungus endemic to the Ohio and Mississippi river valley region and great lakes region. Exposure is typically associated with outdoor activities near streams, rivers, or moist soil. Pulmonary disease is the main manifestation, whereas dissemination is more frequently observed in immunosuppressed individuals. We herein report an uncommon case of B. dermatitidis causing invasive fungal sinusitis in a patient with well-controlled type 2 diabetes mellitus in the absence of conventional higher-risk environmental exposures. This case highlights the importance of a broad differential for invasive fungal infections in patients with diabetes, including those in endemic areas without classical exposures.

Author List

Dimo J, Hall J, Parran K, Mitchell M, Zhu F

Author

Michelle Mitchell MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Blastomyces
Blastomycosis
Diabetes Mellitus, Type 2
Diplopia
Humans
Sinusitis