• A 36-year-old man developed blurred vision and a cough five months after traveling to an area from where a large out-break of acute blastomycosis had been reported. Examination revealed a left choroidal lesion in the macular region, skin lesions on the right calf, and a left lung apical infiltrate. Histopathologic examination of the skin lesion demonstrated a granulomatous inflammation and broad-based, budding yeast characteristic of Blastomyces dermatitidis. Amphotericin B therapy produced a rapid resolution of both choroidal and pulmonary lesions. During a six-month follow-up, there was no evidence of recurrence.
Lewis H, Aaberg TM, Fary DRB, Stevens TS. Latent Disseminated Blastomycosis With Choroidal Involvement. Arch Ophthalmol. 1988;106(4):527-530. doi:10.1001/archopht.1988.01060130573040