Reactivation blastomycosis presenting as a tuboovarian abscess
Murray, J.J.; Clark, C.A.; Lands, R.H.; Heim, C.R.; Burnett, L.S.
Obstetrics and Gynecology 64(6): 828-830
1984
ISSN/ISBN: 0029-7844 PMID: 6504428 Document Number: 228601
A case is reported in a 32-yr-old woman, who presented with a rapidly enlarging abdominal mass 6 months after an undiagnosed illness of fever and a large pleural effusion. Exfoliative cytology of a cervical discharge revealed Blastomyces dermatitidis. At laparotomy, a large peritoneal inclusion cyst was found surrounding a tuboovarian abscess with involvement from the cervix to the peritoneum. B. dermatitidis was cultured from the excised uterus and fallopian tubes. The patient recovered postoperatively, following therapy with amphotericin B (total dose 2 g over 10 weeks). Cultures and smears of her husband's urine and ejaculate at the time of the patient's diagnosis were negative for B. dermatitidis.