Clinical Characteristics and Outcomes in Patients with Pulmonary Blastomycosis

Kralt, Doug; Light, Bruce; Cheang, Mary; MacNair, Tracy; Wiebe, Lyle; Limerick, Bill; Sarsfield, Pete; Hammond, Greg; Macdonald, Kerry; Trepman, Elly; Embil, John M.

doi:10.1007/s11046-008-9163-7

Cited by 56 publications

(39 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Skin is the second most common site of infection producing painless verrucous lesions or violaceous ulcerated pustules [8]. Bone is the third most common site occurring in 25% of extrapulmonary cases [3,[9][10][11]. Osseous involvement usually occurs on the vertebrae, ribs, facial bones, skull, and long bones.…”

Section: Case Reportmentioning

confidence: 99%

Delayed diagnosis of pediatric osseous blastomycosis of the hand: A brief report

Massey¹,

Perry²,

Berken³

et al. 2017

Hand Microsurg

View full text Add to dashboard Cite

Background: Distal fingertip amputations with exposed bone is challenging for the surgeon to manage. In order to reconstruct a good sensate pulp with appropriate closure, various flaps are advocated in the literature. Of these, palmar advancement flap, first described by Moberg in 1964, comprises one of the most popular options. Methods: Thirteen patients (11 male, 3 female) with fingertip injuries were operated. Following the elevation of Moberg flap, proposed modifications were carried out. Joint mobility and pulp sensitivity were recorded as well and advancement scores were noted before and after the modification. These scores were assessed statistically. Results: No complications were noted and there was no need for additional surgery. Excellent joint mobility and pulp sensitivity were maintained. This modification showed a statistically significant improvement in the advancement (p<0.05). Conclusions: Moberg flap is a good option for the closure of fingertip defects. Some simple modifications, as described in here, can enhance the advancement while securing the entire advantages of the flap. IntroductionThe hand is a unique part in the body in and plays important and often irreplaceable functions. In the industrialized world, occupational hand injuries need to be healed as soon as possible. Meanwhile, several healing techniques with various options are being applied to hundreds of thousands of patients by experienced practitioners.Unlike other hand injuries, fingertip amputations need additional attention in order to establish a normal pulp sensibility and maximum range of motion, and like others to maintain the upmost level of hand functioning.In 1964, the volar advancement flap was first described by Moberg for the reconstruction of pulp defects of the thumb (1). This flap is a pedicled advancement flap proximally based on an intact skin pedicle including both neurovascular bundles. This technique establishes a successful neurosensation of the pulp with a limited advancement as well. However, a simple modification as described here, and never been reported elsewhere, can enhance additional advancement. Patients and MethodsThe study was performed with informed consents obtained from all participants.Technique Thirteen patients (11 males, 3 females) with fingertip injuries were operated under regional anaesthesia. Palmar advancement flap was raised over the parathenon (1) (Figure 1a). Both neurovascular bundles were included in the flap so that neurosensible coverage is accomplished (Figure 1b). To increase the Hand Microsurgery & ABSTRACTOsseous blastomycosis of small bones of the pediatric hand is rare. A thirteen-year-old male was reported with a missed diagnosis of right ring finger blastomycosis osteomyelitis and six-week delay in treatment. He was treated successfully with surgical debridement and long term itraconazole. Blastomycosis should be considered in any patient with a lytic bone lesion and prompt tissue cultures are crucial to timely and appropriate treatment.

show abstract

Section: Case Reportmentioning

confidence: 99%

Delayed diagnosis of pediatric osseous blastomycosis of the hand: A brief report

Massey¹,

Perry²,

Berken³

et al. 2017

Hand Microsurg

View full text Add to dashboard Cite

show abstract

“…transform into the pathogenic yeast forms and cause a local pyogranulomatous reaction. 7 In the lung, the phagocytic actions of alveolar macrophages, neutrophils and monocytes provide natural resistance to infection with conidia of B. dermatitidis. The yeast form possesses a thick capsule and is very difficult for phagocytes to ingest and kill.…”

Section: Case Reportmentioning

confidence: 99%

Pulmonary blastomycosis on autopsy: a rare case report

Rana¹,

Sharma²,

Satarkar³

et al. 2015

Int J Res Med Sci

View full text Add to dashboard Cite

“…Acute pulmonary blastomycosis is commonly seen in the setting of an outbreak. The illness is often confused with bacterial community-acquired pneumonia, and the diagnosis of pulmonary blastomycosis is suspected only after the patient's symptoms fail to respond to antibacterials [75][76][77]. As a result, the proper diagnosis is usually delayed [75,77].…”

Section: Blastomycosismentioning

confidence: 99%

Approach to the Diagnosis of Histoplasmosis, Blastomycosis and Coccidioidomycosis

Wheat¹,

Knox

Hage

2014

Curr Treat Options Infect Dis

View full text Add to dashboard Cite

Clinical Characteristics and Outcomes in Patients with Pulmonary Blastomycosis

Abstract: Blastomycosis is a cause of serious, potentially life-threatening pulmonary infection in this geographic region.

Cited by 56 publications

References 47 publications

Delayed diagnosis of pediatric osseous blastomycosis of the hand: A brief report

Delayed diagnosis of pediatric osseous blastomycosis of the hand: A brief report

Pulmonary blastomycosis on autopsy: a rare case report

Approach to the Diagnosis of Histoplasmosis, Blastomycosis and Coccidioidomycosis

Contact Info

Product

Resources

About