Research Keyword: disseminated mycosis

Photo Quiz: A cutaneous fungal infection with discordant biomarker results—a diagnostic challenge

This case describes a woman with advanced HIV who developed a serious fungal infection called histoplasmosis affecting her skin, lungs, and lymph nodes. Diagnosis was challenging because standard fungal blood tests came back negative, but careful examination of samples and specialized testing confirmed Histoplasma capsulatum. The patient was successfully treated with antifungal medications, highlighting the importance of not relying solely on negative tests when clinical suspicion is high.

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Disseminated Scytalidium philadelphianum infection in a Belgian Malinois

A Belgian Malinois dog developed a serious fungal infection caused by Scytalidium philadelphianum, a rare mold, that affected the spine and eventually the brain. The infection was diagnosed through imaging, fluid samples, and fungal culture from the dog’s urine and spine tissue. Despite treatment with multiple antifungal medications over seven months, the dog’s condition worsened with seizures and nerve damage, leading to euthanasia. This case marks the first documented instance of this particular fungal species causing widespread disease in animals.

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Infection caused by a cryptic fungal species, Blastomyces gilchristii, in a tiger

A tiger at a veterinary hospital developed a serious fungal infection that affected its brain and lungs. Using advanced DNA sequencing technology, researchers identified the infection was caused by a previously unrecognized fungal species called Blastomyces gilchristii. This discovery was important because it showed that this dangerous fungus exists in areas where scientists previously thought it wasn’t found, and it highlights the importance of using modern genetic testing to identify unusual infections.

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Infection caused by a cryptic fungal species, Blastomyces gilchristii, in a tiger

A tiger in Tennessee became ill with a serious fungal infection caused by a lesser-known fungus called Blastomyces gilchristii. While blastomycosis is typically caused by a different fungus species, this case represents the first detection of this particular cryptic fungal species in the southeastern United States. Scientists used advanced genetic sequencing to identify the fungus when standard laboratory methods failed. This discovery suggests that this dangerous fungus is spreading to areas where it was not previously thought to exist.

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