246.3 📌 章末速蚘

  • Blastomyces dermatitidis: dimorphic; broad-based budding yeast
  • USA Mississippi/Ohio/Great Lakes + Africa endemic
  • Pulmonary + cutaneous + osseous + GU + CNS
  • Treatment: itraconazole 6-12 mo (mild-moderate); liposomal AmB → itraconazole (severe + CNS)
  • Pregnancy: AmB
246.3.0.0.1 盧醫垫 hint
  • USA Great Lakes / Mississippi valley + outdoor exposure + pulmonary disease + cutaneous lesions → blastomycosis workup
  • HIV + immunocompromise + endemic region → consider in differential