Case Report | Open Access
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, vol. 21, Article ID 679604, 4 pages, 2010. https://doi.org/10.1155/2010/679604
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, 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.
Copyright © 2010 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.