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Home > West Medicine > Internal Medicine > Respiratory Medicine
B40.200

Pulmonary Blastomycosis

呼吸内科

Common symptoms

淋巴结肿大、胸痛、胸腔积液、生长缓慢、毓卓

The pathology of disease

Pulmonary blastomycosis (Gilchrist disease/North American blastomycosis) is chronic granulomatous/pyogenic disease by Blastomyces dermatitidis; any site, mainly skin/lung/bone. Dimorphic soil fungus.

Common Symptoms

Lymphadenopathy; chest pain; pleural effusion; slow growth; Yu Zhuo

Causes and Pathogenesis

Inhalation = main route; lung = primary site; dissemination to skin/bone; rare inoculation. Pulmonary lesions: polymorphous from acute exudative to chronic proliferative (typical).

Treatment

Drug therapy, supportive therapy

Preventive Measures

Species-specific antifungals; early treatment; course 0.5-2 years; severe = amphotericin B + flucytosine synergy.

Department to Visit

It is recommended to visit the Respiratory department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.