Disseminated Blastomycosis with Gastrointestinal Involvement of the Pancreas

Riyat, Nayna; Wells, Thomas G.; Jackson, Christopher; Thomas-Gosain, Neena; Baselski, Vickie S.; Stone, Ilya; Waters, Bradford; Tombazzi, Claudio

doi:10.14309/00000434-201810001-01387

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2023

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“…38 and 39) may appear as one or more nonspecific mass-like lesions, potentially mimicking neoplasm, and parenchymal calcifications [133,134]. There is a general paucity of reports of these infections involving the pancreas in either children or adults, although vary rare instances of mass-like pancreatic lesions due to blastomycosis have been described in adults [125,135].…”

Section: Abdomenmentioning

confidence: 99%

Endemic mycoses in children in North America: a review of radiologic findings

et al. 2023

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Clinically significant endemic mycoses (fungal infections) in the United States (U.S.) include Blastomyces dermatitidis, Histoplasma capsulatum, and Coccidioides immitis/posadasii. While the majority of infections go clinically unnoticed, symptomatic disease can occur in immunocompromised or hospitalized patients, and occasionally in immune-competent individuals. Clinical manifestations vary widely and their diagnosis may require fungal culture, making the rapid diagnosis a challenge. Imaging can be helpful in making a clinical diagnosis prior to laboratory confirmation, as well as assist in characterizing disease extent and severity. In this review, we discuss the three major endemic fungal infections that occur in the U.S., including mycology, epidemiology, clinical presentations, and typical imaging features with an emphasis on the pediatric population.

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