Blastomycosis

Lung involvement by Blastomyces dermatitidis

Classification according to ICD-10
B40	Blastomycosis
B41	Paracoccidioidomycosis - South American blastomycosis
B48.0	Lobomycosis - Keloid Blastomycosis
ICD-10 online (WHO version 2019)

Infestation of the skin

Blastomycosis is a fungal infection of the skin and lungs caused by dimorphic fungi. The pathogen enters the body via the respiratory tract and gradually spreads over the entire organism . It is not uncommon for blastomycoses to be fatal. Amphotericin B is usually used for treatment .

There are three types of blastomycosis.

European blastomycosis

The European blastomycosis is also Cryptococcus - mycosis or cryptococcosis which are sold by Cryptococcus neoformans (alternative name Cryptococcus bacillisporus ) is triggered.

North American blastomycosis

The North American blastomycosis is of B. dermatitidis triggered. It begins as an enlarged bronchitis , affects the lungs and skin and leads to severe emaciation .

It occurs predominantly in North America and is named after Thomas C. Gilchrist as Gilchrist disease (Gilchrist's disease), Gilchrist (Rixford) disease or Gilchrist's disease .

South American blastomycosis

The South American blastomycosis is caused by the fungus Paracoccidioides brasiliensis (synonym Blastomyces brasiliensis triggered) and has a variety of different skin deformations and ulcers result, especially at the mucosa and lymph nodes .

It occurs in rural areas of Latin America - most commonly in Brazil - where the temperatures are mild and the humidity is high . Most of the afflicted are men over 30; Women and children are rarely affected. Around a quarter of the illnesses are fatal.

literature

Karl Wurm, AM Walter: Infectious Diseases. In: Ludwig Heilmeyer (ed.): Textbook of internal medicine. Springer-Verlag, Berlin / Göttingen / Heidelberg 1955; 2nd edition, ibid. 1961, pp. 9-223, here: p. 213.

Web links

Blastomycosis AIS Travel Health

Individual evidence

^ Blastomycosis, North American ( Memento from February 22, 2014 in the Internet Archive ), Urban & Fischer Verlag 2003, accessed on February 12, 2016
↑ Ferry Hagen, Kantarawee Khayhan, Bart Theelen, Anna Kolecka, Itzhack Polacheck, Edward Sionov, Rama Falk, Sittiporn Parnmen, H. Thorsten Lumbsch: Recognition of seven species in the Cryptococcus gattii / Cryptococcus neoformans species complex . In: Fungal Genetics and Biology . 78, May 1, 2015, pp. 16–48. doi : 10.1016 / j.fgb.2015.02.009 . PMID 25721988 .
↑ North American blastomycosis ( Memento from May 5, 2014 in the Internet Archive ), Prof. Dr. P. Altmeyer, Springer-Verlag 2013, accessed on February 12, 2016
^ Blastomyces, Mushroom genus ( Memento of February 22, 2014 in the Internet Archive ), Urban & Fischer Verlag 2003, accessed on February 12, 2016
↑ Gilchrist, Thomas Casper , accessed February 8, 2014.

[1] Blastomycosis, North American ( Memento from February 22, 2014 in the Internet Archive ), Urban & Fischer Verlag 2003, accessed on February 12, 2016

[2] Ferry Hagen, Kantarawee Khayhan, Bart Theelen, Anna Kolecka, Itzhack Polacheck, Edward Sionov, Rama Falk, Sittiporn Parnmen, H. Thorsten Lumbsch: Recognition of seven species in the Cryptococcus gattii / Cryptococcus neoformans species complex . In: Fungal Genetics and Biology . 78, May 1, 2015, pp. 16–48. doi : 10.1016 / j.fgb.2015.02.009 . PMID 25721988 .

[3] North American blastomycosis ( Memento from May 5, 2014 in the Internet Archive ), Prof. Dr. P. Altmeyer, Springer-Verlag 2013, accessed on February 12, 2016

[4] Blastomyces, Mushroom genus ( Memento of February 22, 2014 in the Internet Archive ), Urban & Fischer Verlag 2003, accessed on February 12, 2016

[5] Gilchrist, Thomas Casper , accessed February 8, 2014.