Cutaneous blastomycosis: a clue to a systemic disease^*

Blastomicose cutânea: um sinal de doença sistêmica

Abstract

A 55-year-old male presented with back pain and slightly tender annular plaques with central ulceration on his face. A skin biopsy revealed scattered yeast with broad based buds. A CT scan of the abdomen revealed a pathologic T12 fracture. Tissue obtained from the spine confirmed budding yeasts. The patient was diagnosed with disseminated blastomycosis. The patient was treated with amphotericin and itraconazole and completely recovered.

Blastomycosis; Chromoblastomycosis; Coccidioidomycosis; Paracoccidioidomycosis