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October 31, 2019

Complicated Blastomycosis of the Skull Base Presenting as Otitis Media

Author Affiliations
  • 1Division of Infectious Diseases, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois
  • 2Department of Otolaryngology, Northwestern Medicine Regional Medical Group, Geneva, Illinois
  • 3Department of Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, Chicago, Illinois
  • 4Department of Otorhinolaryngology, Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois
JAMA Otolaryngol Head Neck Surg. 2020;146(1):81-82. doi:10.1001/jamaoto.2019.3241

Blastomyces dermatitidis is a fungus endemic to the Mississippi, Ohio, and St Lawrence River regions of the United States and Canada.1 Although pulmonary infection is its most common clinical manifestation, B dermatitidis can disseminate secondarily to any organ. We describe a case of complicated skull base osteomyelitis caused by B dermatitidis presenting as treatment-refractory otitis media.

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