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.
Grennan D, Alvi S, Jhaveri MD, Lin MY, Wiet RM. Complicated Blastomycosis of the Skull Base Presenting as Otitis Media. JAMA Otolaryngol Head Neck Surg. 2020;146(1):81–82. doi:10.1001/jamaoto.2019.3241
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