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Cited by 134Fungal Infections and StudiesAntifungal resistance and susceptibilityActinomycetales infections and treatment

Blastomycosis: organ involvement and etiologic diagnosis. A review of 123 patients from Mississippi.

Lemos, Luciano B., Guo, Ming, Baliga, Mithra·2000·Annals of Diagnostic Pathology
DOI 10.1053/adpa.2000.20755
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Abstract

Blastomycosis can only be diagnosed through the identification of the yeasts of Blastomyces dermatitidis in body fluids, tissues, or cultured material. The charts from 123 patients treated for blastomycosis at the University of Mississippi Medical Center from January 1980 through May 2000 were reviewed to determine the role of wet preparation, cytology, histology, and culture in diagnosing this fungal disease. Cytology uncovered the etiologic agent in 56.1% of all cases and in 71.8% of pulmonary cases. Cytology also was the first method to disclose the fungus in 57.7% of pulmonary cases. Sputum was the cytology specimen examined in 51% of the patients. In 69 patients with lung involvement, pulmonary cytology was positive in 97% of cases. Wet preparation was the second method to most commonly uncover the fungus in 37.4% of all cases. Histology was the third method with 32.5% of positive cases. Cultures were positive in 64.2% of all cases but they were the first to detect the fungus in only 3.2% of all patients. There was pulmonary involvement in 87% of patients, cutaneous involvement in 20%, osseous involvement in 15%, and central nervous involvement in 3%. In the medical literature the relative proportion of pulmonary versus disseminated disease clearly increased in series reported after 1959. Proportionally to the pattern of patients admitted to the University of Mississippi Medical Center, there is a clear predominance of black males among patients with blastomycosis followed by black females. White females constitute the sex/ethnic group least affected by this fungal disease.

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  • In a study of persons admitted to the University of Mississippi Medical Center and treated for blastomycosis from 1980 to 2000, there was a clear predominance of black or African American men, followed by black or African American women, among 123 hospitalized persons (81% black, 17% white, 2% Native American).

    “In another study of persons admitted to the University of Mississippi Medical Center and treated for blastomycosis from 1980 to 2000, there was a clear predominance of black or African American men admitted to the hospital, followed by black or African American women. Among the 123 hospitalized persons, 100 (81%) were black or African American, 21 (17%) white, and 2 (2%) Native American.”

    From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [178]

  • The increased risk for hospitalization among racial and ethnic minorities may signify blastomycosis-related health disparities.

    “The increased risk for hospitalization among racial and ethnic minorities may signify blastomycosis-related health disparities [178–180].”

    From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [178]

  • The increased risk for hospitalization among persons of nonwhite races lends further evidence to the existence of blastomycosis-related health disparities.

    “The increased risk for hospitalization among persons of nonwhite races lends further evidence to the existence of blastomycosis-related health disparities, as previously suspected (15–17).”

    From Blastomycosis Surveillance in 5 States, United States, 1987–2018 (2021) · cites this paper as [16]

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Authors
Lemos, L. B., Guo, M., & Baliga, M.
Affiliations
University of Mississippi Medical Center (US)
ORCID
Guo, Ming
Venue
Annals of Diagnostic Pathology
Publisher
Elsevier BV
Published
2000-12
Volume
4
Issue
6
Pages
391-406
ISSN
1092-9134 (ISSN-L)
DOI
10.1053/adpa.2000.20755
OpenAlex
W2064638442
Cited by
134
References
114
Citations by year
2026: 2 · 2025: 6 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 6 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 7 · 2015: 4 · 2014: 8 · 2013: 7 · 2012: 8
FWCI
1.07
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Annals of Diagnostic Pathology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
  • Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
  • Health Sciences › Medicine › Microbiology › Actinomycetales infections and treatment
Keywords
blastomycosis, Blastomyces dermatitidis, etiological diagnosis, cytology, wet preparation, histology, fungal culture, pulmonary involvement, skin involvement, bone involvement, central nervous system involvement, disseminated disease, Mississippi
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Black or African American, Blastomyces, Blastomycosis, Bone Diseases, Infectious, Child, Child, Preschool, Female, Humans, Infant, Lung Diseases, Fungal, Male, Middle Aged, Mississippi, Retrospective Studies, Age Distribution, Sex Distribution, Central Nervous System Fungal Infections, Black People, White People

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