Title |
Unusual osseous presentation of blastomycosis in an immigrant child: a challenge for European pediatricians
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Published in |
Italian Journal of Pediatrics, December 2012
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DOI | 10.1186/1824-7288-38-69 |
Pubmed ID | |
Authors |
Margherita Codifava, Azzurra Guerra, Giulio Rossi, Paolo Paolucci, Lorenzo Iughetti |
Abstract |
Blastomycosis, caused by the thermally dimorphic fungus Blastomyces dermatitidis is a systemic pyogranulomatous infection, endemic in United States and Canada, with few reported cases in Africa and Asia. It is uncommon among children and adolescents, ranging from 3% to 10%. Clinical features vary from asymptomatic spontaneously healing pneumonia, through acute or chronic pneumonia, to a malignant appearing lung mass. Blastomycosis can originate a "metastatic disease" in the skin, bones, genitourinary tract and central nervous system. Bone is the third most common site of blastomycotic lesions, after lung and skin. Bones may be involved in 14-60% of cases of blastomycosis. Direct visualization of single broadbased budding yeast with specific stains in sputum or tissue samples at microscopy is the primary method for diagnosis, while culture is timeconsuming and other methods are unreliable. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
India | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 67% |
Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 51 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 10 | 20% |
Librarian | 4 | 8% |
Student > Bachelor | 4 | 8% |
Researcher | 4 | 8% |
Student > Doctoral Student | 3 | 6% |
Other | 8 | 16% |
Unknown | 18 | 35% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 20 | 39% |
Nursing and Health Professions | 4 | 8% |
Psychology | 3 | 6% |
Social Sciences | 2 | 4% |
Agricultural and Biological Sciences | 1 | 2% |
Other | 1 | 2% |
Unknown | 20 | 39% |