Table 1.
Characteristics of reported cases.
| Case Number | Age, Y/Sex | Comorbidities | Geographic Location | Diagnostic Testing for Blastomyces | Diagnostic Image Findings |
|---|---|---|---|---|---|
| 1 | 64/M | HTN, HLD | Effingham, Illinois | Serum and urine blastomyces antigen positive. Bronchial washings with B. dermatitidis. Tibial biopsy with B. dermatitidis | Bilateral reticulonodular alveolar and interstitial opacities |
| 2 | 61/M | RS hemiparesis (gunshot) | Pana, Illinois | Serum blastomyces antigen positive. Bronchial washings and endobronchial biopsies revealed B. dermatitidis | Right lower lobe atelectasis with endobronchial lesion |
| 3 | 68/M | HTN, HLD, BPH, chronic prostatitis, prostate cancer | Decatur, Illinois | BAL positive for B. dermatitidis | Diffuse bilateral mixed alveolar and interstitial opacities with hilar and mediastinal lymphadenopathy |
| 4 | 29/M | Seizures, 1 PPD Smoke | Springfield, Illinois | Serum blastomyces immunodiffusion positive. BAL with B. dermatitidis | Left upper lobe consolidation with multiple cavitary lesions suspicious for necrotizing pneumonia. Right upper and left lower lobe tree-in-bud opacities |
| 5 | 65/M | HTN, CAD, CHF, COPD, DMII, 150 pack year smoker | Pana, Illinois | Serum blastomyces immunodiffusion positive. BAL fungal culture with B. dermatitidis | Bilateral tree-in-bud opacities, worse on the right |
Abbreviations: LLE, left lower extremity; RS, right-side; HTN, hypertension; HLD, hyperlipidemia; BPH, benign prostatic hyperplasia; CT, computed tomography; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; DMII, type 2 diabetes; BAL, bronchoalveolar lavage: PPD, pack per day.