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Southern medical journal · Aug 1997
Case ReportsPulmonary blastomycosis with acute respiratory failure as predominant clinical feature.
- R Mukkamala, J B Mehta, J W Myers, and C P Cole.
- Department of Internal Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City 37614-0622, USA.
- South. Med. J. 1997 Aug 1; 90 (8): 847-50.
AbstractTwo previously healthy young adults came to our community hospital with rapidly progressive respiratory failure. Investigation confirmed Blastomyces as the responsible etiologic agent. Despite adequate antifungal chemotherapy and intensive supportive care, both patients died, one within 24 hours and the other after 14 days. Overwhelming infection with Blastomyces dermatitidis can cause acute respiratory failure, possibly the adult respiratory distress syndrome, even in immunocompetent hosts.
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