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A rare fatal case of disseminated cutaneous blastomycosis in a child
Amit Shekhar1, Pradeep Kumar Gupta2, Pratik Gahalaut1, Nitin Mishra1
1 Department of Dermatology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
2 Department of Pediatrics, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
Correspondence Address:
Pratik Gahalaut,
69, Silver Estate, Bareilly - 243 006, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/2319-7250.187898
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We report a rare fatal case of disseminated blastomycosis in an otherwise healthy 12-year-old child. He presented with multiple verrucous, hyperkeratotic suppurating plaques, and multiple sinuses discharging thick pus over the face, chest, and upper and lower limbs for the last 8 months. Clinical diagnosis was confirmed by histopathology which showed thick-walled, clustered refractile yeast cells with broad-based unidirectional budding resembling hyphae. Although he was vigorously treated by intravenous amphotericin-B and itraconazole, the child succumbed to death within 2 weeks of presentation. This case is being reported for its rarity and fatal outcome. Besides, in the present case, widespread cutaneous spread occurred without any other systemic involvement. |
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