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Case Report

Mandibular Blastomycosis: A Case Report and Review of the Literature

by
Fritzie S. Albarillo
1,*,
Gotam T. Varma
2 and
Stephen P.R. MacLeod
3
1
Division of Infectious Diseases, Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, IL 60153, USA
2
Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801, USA
3
Division of Oral and Maxillofacial Surgery, Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, IL 60153, USA
*
Author to whom correspondence should be addressed.
GERMS 2018, 8(4), 207-213; https://doi.org/10.18683/germs.2018.1148
Submission received: 18 September 2018 / Revised: 9 October 2018 / Accepted: 11 October 2018 / Published: 3 December 2018

Abstract

Introduction: Blastomycosis is an endemic mycosis in the United States known to primarily cause pneumonia. However, dissemination to different organs including the musculoskeletal system has been described. Case report: We report a case of mandibular blastomycosis in a healthy patient with no evidence of lung involvement. A 28 year-old female presented with recurrent right mandibular osteomyelitis despite courses of antibiotics and surgical debridement. She eventually underwent right hemimandibulectomy. Budding yeasts visualized on Gomori Methenamine-Silver (GMS) and Periodic acid–Schiff (PAS) were morphologically consistent with Blastomyces dermatitidis, and intra-operative cultures showed growth of mold identified as B. dermatitidis by DNA probe. She was placed on a prolonged course of itraconazole with clinical improvement. We also reviewed the literature and found 5 cases of similar presentation which we briefly summarized in this present case report. Conclusion: Blastomycosis should be considered in patients with recurrent or persistent mandibular osteomyelitis even in immunocompetent individuals.
Keywords: blastomycosis; mandibular osteomyelitis; mandibular blastomycosis blastomycosis; mandibular osteomyelitis; mandibular blastomycosis

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MDPI and ACS Style

Albarillo, F.S.; Varma, G.T.; MacLeod, S.P.R. Mandibular Blastomycosis: A Case Report and Review of the Literature. GERMS 2018, 8, 207-213. https://doi.org/10.18683/germs.2018.1148

AMA Style

Albarillo FS, Varma GT, MacLeod SPR. Mandibular Blastomycosis: A Case Report and Review of the Literature. GERMS. 2018; 8(4):207-213. https://doi.org/10.18683/germs.2018.1148

Chicago/Turabian Style

Albarillo, Fritzie S., Gotam T. Varma, and Stephen P.R. MacLeod. 2018. "Mandibular Blastomycosis: A Case Report and Review of the Literature" GERMS 8, no. 4: 207-213. https://doi.org/10.18683/germs.2018.1148

APA Style

Albarillo, F. S., Varma, G. T., & MacLeod, S. P. R. (2018). Mandibular Blastomycosis: A Case Report and Review of the Literature. GERMS, 8(4), 207-213. https://doi.org/10.18683/germs.2018.1148

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