Diag Studies 5Online version test study by Kate McFarland 1 Systemic fungal infections 2 Blastomycosis 3 Paracoccidioides 4 Histoplasmosis 5 Coccidiomycosis 6 Penicillium marneffei Blastomycosis Paracoccidiomycosis Histoplasmosis Coccidiomycosis Penicillium marneffei Chronic pulmonary infection w/Airspace consolidation or masses Usually healthy men infected with occupational or recreational activities out of doors Increased white count, Anemia, Organism identified in sputum Pulmonary infection w/Long asymptomatic periods Mucosal ulcerations Skin lesions, Necrotic central crater, hard border, Lymph node enlargement Source: Soil Soil contaminated with bird or bat droppings Diffuse pneumonia Looks like atypical pneumonia (mycoplasma pneumonia) 5-15 days Anemia, Alkaline phosphatase-increased, LDH- increased, Ferritin-increased, Urine and serum serological testing for antigen Pulmonary infiltrates to widespread small nodules or lesions Serological testing IgM, IgG, Immunosuppressed have false neg. rate of 30% Arid soils Fever, papular rash, lymphadenopathy, cough, diarrhea Fungal Culture
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