Blastomycosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2], Vidit Bhargava, M.B.B.S [3]

Overview

The physical manifestations of the disease depends on the organ of involvement. In the order of incidence the most commonly involved organs are lungs, skin, bones, genitourinary system, central nervous system and other misc organs.

Physical Examination

Vital Signs

Oral cavity

Gallery

Lungs

Findings consistent with parenchymal consolidation such as

Skin

  • Ulcerative lesions that bleed easily
  • Verrucous lesions with irregular border and variegated appearance
  • In cases with skin involvement from inoculation regional lymph node enlargement may be seen.

Bone and joints

  • Soft tissue swelling around the area of involvement and discharging sinuses might be consistent with osteomyelitis.
  • Arthritis can cause reproducible pain in joints.

Genitourinary system

Extremities

  • Ulcers
Gallery

References

  1. Smith JA, Gauthier G (2015). "New Developments in Blastomycosis". Semin Respir Crit Care Med. 36 (5): 715–28. doi:10.1055/s-0035-1562898. PMID 26398538.
  2. 2.0 2.1 "Public Health Image Library (PHIL)".

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