A 45-year-old male presented with low grade fever, malaise, shoness of breath and a growing skin lesions for 1 month. The cough had worsened over the past 1 month. Skin lesions are given below. O/E, Bronchial breath sounds in right lower lobe Egophony Chest x ray and biopsy of the skin lesion were done. What type of spores can be seen in the old cultures of the above organism: -
High-Yield Explanation
This is a case of disseminated blastomycosis. 1st image shows the ulcerating skin lesions of blastomycosis. 2nd image shows the right lower lobe consolidation. 3rd image shows the broad-based budding yeast cells. Blastomycosis shows chlamydospores in old cultures.