Pulmonary Blastomycosis Masquerading as Malignancy in India; Case From a Tertiary Hospital in South India

Joshi, Divya Rakesh; Nambi, Senthur; Santosham, Rajan; Santosham, Rajiv

doi:10.34172/ijtmgh.2022.24

Pulmonary Blastomycosis Masquerading as Malignancy in India; Case From a Tertiary Hospital in South India

Document Type : Case Report

Authors

Divya Rakesh Joshi ¹

Senthur Nambi ¹

Rajan Santosham ²^{, 3}

Rajiv Santosham ²^{, 3}

¹ Department of Infectious Diseases, Apollo Hospital, Chennai, India

² Department of Cardiovascular and Thoracic Surgery Apollo Hospital, Chennai, India

³ Santosham Chest Hospital, Chennai, India

10.34172/ijtmgh.2022.24

Abstract

Introduction: Blastomycosis is an endemic granulomatous fungal infection involving multiple organ systems predominantly the lungs. The diverse clinical spectra of the pulmonary disease encompass a subclinical infection, an acute infection mimicking a bacterial pneumonia and a chronic variant masquerading as tuberculosis or malignancy.
Case Presentation: Here we report a case of a middle-aged gentleman who was evaluated for a malignant pulmonary mass which was later identified as pulmonary blastomycosis. The diagnosis of blastomycosis was made through histopathology and was retrospectively corelated with a travel history to an endemic region.
Conclusion: The endemicity of this infection contributes to the diagnostic dilemma in the non-endemic setup. This warrants a high clinical suspicion in patients with a chronic pulmonary syndrome with a travel history to an endemic area.

Keywords

Blastomycosis

Pulmonary Cancer

Hemoptysis