Blastomycosis Presenting as Multiple Splenic Abscesses: Case Report and Review of the Literature
A 31-year-old Canadian Aboriginal man from northwestern Ontario presented with left upper quadrant pain and a tender left upper quadrant mass. Evaluation with a computed tomography scan showed multiple lesions within the spleen, a collection between the splenic tip and splenic flexure of the colon,...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Canadian Journal of Infectious Diseases and Medical Microbiology |
| Online Access: | http://dx.doi.org/10.1155/2010/679604 |
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| _version_ | 1832567810676490240 |
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| author | Sami Al-Nassar Tracy MacNair Jeremy Lipschitz Howard Greenberg Elly Trepman Sate Hamza John M Embil |
| author_facet | Sami Al-Nassar Tracy MacNair Jeremy Lipschitz Howard Greenberg Elly Trepman Sate Hamza John M Embil |
| author_sort | Sami Al-Nassar |
| collection | DOAJ |
| description | A 31-year-old Canadian Aboriginal man from northwestern Ontario presented with left upper quadrant pain and a tender left upper quadrant mass. Evaluation with a computed tomography scan showed multiple lesions within the spleen, a collection between the splenic tip and splenic flexure of the colon, and several small adrenal lesions. Computed tomographic-guided needle biopsy showed necrotizing granulomatous inflammation and multinucleated giant cells. Gomori’s methenamine silver stain showed broad-based budding yeast consistent with Blastomyces dermatitidis. Abdominal symptoms resolved after two months of oral itraconazole. Multiple splenic abscesses are a rare presentation of blastomycosis and should be considered in the differential diagnosis of left upper quadrant abdominal pain in a patient with a history of travel or residence in a region endemic for B dermatitidis. |
| format | Article |
| id | doaj-art-976bc5a879fe41398bbe757c7ddfab04 |
| institution | Kabale University |
| issn | 1712-9532 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases and Medical Microbiology |
| spelling | doaj-art-976bc5a879fe41398bbe757c7ddfab042025-02-03T01:00:31ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322010-01-01211535610.1155/2010/679604Blastomycosis Presenting as Multiple Splenic Abscesses: Case Report and Review of the LiteratureSami Al-Nassar0Tracy MacNair1Jeremy Lipschitz2Howard Greenberg3Elly Trepman4Sate Hamza5John M Embil6Department of Surgery, King Saud University, Riyadh, Saudi ArabiaDepartment of Radiology, Diagnostic Services, Boundary Trails Health Centre, Winkler, CanadaDepartment of Surgery, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Diagnostic Imaging, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Pathology, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, CanadaA 31-year-old Canadian Aboriginal man from northwestern Ontario presented with left upper quadrant pain and a tender left upper quadrant mass. Evaluation with a computed tomography scan showed multiple lesions within the spleen, a collection between the splenic tip and splenic flexure of the colon, and several small adrenal lesions. Computed tomographic-guided needle biopsy showed necrotizing granulomatous inflammation and multinucleated giant cells. Gomori’s methenamine silver stain showed broad-based budding yeast consistent with Blastomyces dermatitidis. Abdominal symptoms resolved after two months of oral itraconazole. Multiple splenic abscesses are a rare presentation of blastomycosis and should be considered in the differential diagnosis of left upper quadrant abdominal pain in a patient with a history of travel or residence in a region endemic for B dermatitidis.http://dx.doi.org/10.1155/2010/679604 |
| spellingShingle | Sami Al-Nassar Tracy MacNair Jeremy Lipschitz Howard Greenberg Elly Trepman Sate Hamza John M Embil Blastomycosis Presenting as Multiple Splenic Abscesses: Case Report and Review of the Literature Canadian Journal of Infectious Diseases and Medical Microbiology |
| title | Blastomycosis Presenting as Multiple Splenic Abscesses: Case Report and Review of the Literature |
| title_full | Blastomycosis Presenting as Multiple Splenic Abscesses: Case Report and Review of the Literature |
| title_fullStr | Blastomycosis Presenting as Multiple Splenic Abscesses: Case Report and Review of the Literature |
| title_full_unstemmed | Blastomycosis Presenting as Multiple Splenic Abscesses: Case Report and Review of the Literature |
| title_short | Blastomycosis Presenting as Multiple Splenic Abscesses: Case Report and Review of the Literature |
| title_sort | blastomycosis presenting as multiple splenic abscesses case report and review of the literature |
| url | http://dx.doi.org/10.1155/2010/679604 |
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