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Case Reports
. 2014 Aug;52(8):3130-3.
doi: 10.1128/JCM.01392-14. Epub 2014 Jun 4.

Unexpected Blastomyces dermatitidis etiology of fungal sinusitis and erosive palatal infection in a diabetic patient

Jane Thomas  1 , Erik Munson  2 , John C Christianson  3
Affiliations
Case Reports

Unexpected Blastomyces dermatitidis etiology of fungal sinusitis and erosive palatal infection in a diabetic patient

Jane Thomas et al. J Clin Microbiol. 2014 Aug.

Abstract

We present what is believed to be the initial report of hard-palate infection caused by Blastomyces dermatitidis. The organism was cultivated from biopsy material obtained from a diabetic patient presenting with complaints of headache and malaise. Radiologic findings revealed a malignant-appearing soft-tissue mass with paranasal sinus base destruction.

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Figures

FIG 1
FIG 1
Sagittal (A), coronal (B), and transverse (C) sections of maxillofacial CT scan with contrast; thick arrows indicate the site of soft-tissue mass, and narrow arrows indicate evidence of bone erosion.
FIG 2
FIG 2
Hematoxylin and eosin stain, hard-palate biopsy specimen—×1,000 total magnification.
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