RT Journal Article SR Electronic T1 Blastomycosis: A Case Study of a Dimorphic Fungal Disease JF American Society for Clinical Laboratory Science JO Clin Lab Sci FD American Society of Chemistry and Laboratory Science SP 145 OP 148 DO 10.29074/ascls.17.3.145 VO 17 IS 3 A1 Boswell, Elizabeth A1 Aziz, Hassan YR 2004 UL http://hwmaint.clsjournal.ascls.org/content/17/3/145.abstract AB A 17-year-old male presented to a local hospital with symptoms of pneumonia and a hacking cough productive of yellow sputum. Direct examination of a bronchial lavage sample revealed organisms morphologically consistent with Blastomyces dermatitidis, which was confirmed by culture. The patient was placed on intravenous antifungal therapy and his condition improved dramatically.OBJECTIVES: to describe the gross and microscopic morphologies of both yeast and mold forms of B. dermatitidis; to identify B. dermatitidis given patient history, and microscopic and colony morphology; to describe the symptoms of primary pulmonary infections caused by B. dermatitidis, and to name additional tissues typically affected by the systemic pathogen.ABBREVIATIONS: AIDS = acquired immunodeficiency syndrome; ANA = antinuclear antibodies; HSV = herpes simplex virus; KOH = potassium hydroxide; RBC = red blood cell; WBC = white blood cell.