Primary Cutaneous (Inoculation) Blastomycosis: An Occupational Hazard to Pathologists

Larson, Donald M.; Eckman, Mark R.; Alber, Ronald L.; Goldschmidt, Volker

doi:10.1093/ajcp/79.2.253

Cited by 50 publications

(14 citation statements)

References 5 publications

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“…We report a case of cutaneous inoculation blastomycosis and review 21 previously published cases (table 1) [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. The syndrome of cutaneous inoculation blastomycosis was first described in 1903 [1].…”

Section: Discussionmentioning

confidence: 99%

MAJOR ARTICLE: Cutaneous Inoculation Blastomycosis

Gray

Baddour

2002

CLIN INFECT DIS

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Section: Discussionmentioning

confidence: 99%

MAJOR ARTICLE: Cutaneous Inoculation Blastomycosis

Gray

Baddour

2002

CLIN INFECT DIS

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“…Therefore, farmers and construction workers in endemic areas should be considered to be at increased risk for contracting blastomycosis [16]. Other workers at risk for this infection include forestry workers [17], veterinarians [18] and other professionals working with infected dogs [19], and pathologists [20] and laboratory workers [21], who can be accidentally infected in the laboratory.…”

Section: Professions Associated With Ifis Secondary To Inhalation Of mentioning

confidence: 99%

Occupation, Lifestyle, Diet, and Invasive Fungal Infections

Sipsas

Kontoyiannis

2008

Infection

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Many professions, especially those involving outdoor activities, are associated with increased environmental exposure to pathogenic fungi and, subsequently, increased risk of IFIs. Inhalation and direct inoculation through minor skin lesions are the most common mechanisms of fungal infection. In addition, different lifestyle practices, such as smoking tobacco or marijuana, body piercing, tattooing, use of illicit intravenous drugs, and pet ownership, various outdoor leisure activities, such as gardening, camping, spelunking, and hunting, and traveling to endemic areas are associated with an increased risk of IFIs. Finally, some modern diet habits dictate the consumption of food or herbal products harboring pathogenic fungi or fungal toxins, which may cause IFIs in susceptible individuals.

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“…Blastomyces dermatitidis. Both laboratory-acquired cutaneous blastomycoses following accidental parenteral inoculation and pulmonary infections following presumed inhalation of conidia have been reported (5,19,24,84,142). Few cases were reported after 1980.…”

Section: Fungal Agentsmentioning

confidence: 99%

Laboratory-associated infections and biosafety

Sewell¹

1995

Clin Microbiol Rev

263

141

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An estimated 500,000 laboratory workers in the United States are at risk of exposure to infectious agents that cause disease ranging from inapparent to life-threatening infections, but the precise risk to a given worker unknown. The emergence of human immunodeficiency virus and hantavirus, the continuing problem of hepatitis B virus, and the reemergence of Mycobacterium tuberculosis have renewed interest in biosafety for the employees of laboratories and health care facilities. This review examines the history, the causes, and the methods for prevention of laboratory-associated infections. The initial step in a biosafety program is the assessment of risk to the employee. Risk assessment guidelines include the pathogenicity of the infectious agent, the method of transmission, worker-related risk factors, the source and route of infection, and the design of the laboratory facility. Strategies for the prevention and management of laboratory-associated infections are based on the containment of the infectious agent by physical separation from the laboratory worker and the environment, employee education about the occupational risks, and availability of an employee health program. Adherence to the biosafety guidelines mandated or proposed by various governmental and accrediting agencies reduces the risk of an occupational exposure to infectious agents handled in the workplace.

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Primary Cutaneous (Inoculation) Blastomycosis: An Occupational Hazard to Pathologists

Cited by 50 publications

References 5 publications

MAJOR ARTICLE: Cutaneous Inoculation Blastomycosis

MAJOR ARTICLE: Cutaneous Inoculation Blastomycosis

Occupation, Lifestyle, Diet, and Invasive Fungal Infections

Laboratory-associated infections and biosafety

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