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    A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host

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    Author
    Slomka, M.
    Doub, J.
    Date
    2020
    Journal
    Medical Mycology Case Reports
    Publisher
    Elsevier B.V.
    Type
    Article
    
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    https://doi.org/10.1016/j.mmcr.2020.03.001
    Abstract
    Here we present a case of a 41-year old immunocompetent female from central Maryland, who presented with new onset seizures. Magnetic resonance imaging of brain revealed a solitary ring-enhancing lesion. Stereotactic brain biopsy confirmed Blastomyces dermatitidis brain abscess. Patient's clinical course was complicated by voriconazole-induced pancytopenia that prompted surgical resection and amphothericin-induced severe hypokalemia necessitating change to high dose fluconazole. Four months after surgical resection, patient remains in radiographic and clinical remission. Copyright 2020 The Author(s)
    Keyword
    Blastomyces dermatitidis
    Dimorphic fungi
    Drug induced
    Drug induced hypokalemia
    Endemic mycoses
    Fungal brain abscess
    Pancytopenia
    Blastomyces
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081745185&doi=10.1016%2fj.mmcr.2020.03.001&partnerID=40&md5=3c7cb53d4eca329de05cf7417021e934; http://hdl.handle.net/10713/12369
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.mmcr.2020.03.001
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