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IPLab:Lab 10:Blastomycosis

108 bytes removed, 21:57, 9 July 2020
Clinical Summary
== Clinical Summary ==
About three weeks before his death, this 17-year-old white male developed a "chest cold" which gradually worsened. The patient was eventually admitted three days before his death. At that time, the patient was very dyspneic. Chest x-ray showed consolidation of the entire left lung. The initial impression by his care team was staphylococcal pneumonia. However, Blastomyces dermatitides was identified in stained smears of sputum the next day. In spite of appropriate antifungal therapy, the patient deteriorated rapidly and died.
About three weeks before his death, this 17-year-old white male developed a "chest cold" which gradually worsened. The patient was eventually admitted three days before his death. At that time, autopsy the patient was very dyspneic. Chest x-ray showed both lungs had areas of consolidation of the entire left lung. The initial impression by his care team was staphylococcal pneumonia. However, Blastomyces dermatitides was identified in stained smears of sputum the next day. In spite of appropriate antifungal therapy, the patient deteriorated rapidly and died.  == Autopsy Findings == Autopsy confirmed that the entire left lung was semi-solidnecrosis.
== Images ==
File:IPLab10Blasto10.jpg|This is a very high-power photomicrograph showing Blastomyces organisms stained with PAS. Note the budding organism (arrow) and the underlying pyogranulomatous inflammatory reaction in the background.
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== Virtual Microscopy ==
=== H&E ===
<peir-vm>IPLab10Blasto_HE</peir-vm>
 
=== PAS ===
<peir-vm>IPLab10Blasto_PAS</peir-vm>
== Study Questions ==
=== Images ===
* [http://peir.path.uab.edu{{SERVER}}/library/index.php?/tags/542-blastomycosis PEIR Digital Library: Blastomycosis Images]
* [http://library.med.utah.edu/WebPath/INFEHTML/INFECIDX.html Webpath: Infection]
 
== Related IPLab Cases ==
* [[IPLab:Lab 5:&alpha;1 Antitrypsin Deficiency|Lab 5: Lung: &alpha;1-Antitrypsin Deficiency]]
* [[IPLab:Lab 12:COPD|Lab 12: Lung: Chronic Obstructive Pulmonary Disease]]
{{IPLab 10}}
[[Category: IPLab:Lab 10]]