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The Brief Case: “Great Pretender”—Disseminated Blastomycosis in Western North Carolina

Year: 2021
Type: article
Study design: Case Report
Abstract: A 52-year-old male with poorly controlled type II diabetes mellitus and presumed sarcoidosis on low-dose prednisone presented to a community hospital in North Carolina in June 2020 with diffuse skin lesions and subjective shortness of breath. A skin biopsy specimen was obtained and sent for pathological review. Bronchoscopy was performed, with no reported evidence of active infection, but no specimens were sent for diagnostic testing. He was initiated on empirical parenteral methylprednisolone for sarcoidosis. At the time of discharge (hospital day 6), he was reportedly breathing comfortably on ambient air. He was prescribed a prednisone taper along with amoxicillin-clavulanate for presumed progressive sarcoidosis with potential superimposed pneumonia.
Language: English
Subfield: Epidemiology
Field: Medicine
Open Access status: green
OpenAlex ID: W4200327004
FWCI: 0.307
Cites: 11
Cited by: 3
Related to: 10