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전병우 ( Byung Woo Jhun ),김다민 ( Da Min Kim ),박지현 ( Ji Hyeon Park ),유홍석 ( Hong Seok Yoo ),심훈보 ( Hun Bo Shim ),김진국 ( Jhin Gook Kim ),한정호 ( Joung Ho Han ),권오정 ( O Jung Kwon ) 대한결핵 및 호흡기학회 2012 Tuberculosis and Respiratory Diseases Vol.72 No.1
Blastomyces dermatitidis is a dimorphic fungus that causes the systemic pyogranulomatous disease known as blastomycosis. Blastomycosis most often involves the lungs, skin, and may involve nearly every organ in the body. It is difficult, however, to diagnose blastomycosis in the early stage of pulmonary disease because clinical manifestations are varied from subclinical infection to acute respiratory distress syndrome. Since blastomycosis is often accompanied by granulomatous inflammation in histopathologic findings, differentiation from other etiologic diseases is important. We report a case of a 45-year-old male with pulmonary blastomycosis who had been misdiagnosed with tuberculosis for 3 months.