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Image Number 1216 (North American Blastomycosis)

Nodule pink

Diagnosis: North American Blastomycosis

Site: Face

Sex: M

Age: 46


Description: Crusted, painless nodule

Submitted by: Ted Rosen

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Differential Diagnosis

History: Presented with painless, slowly growing nodule on face. History of bad "cough and cold" some months previously, but chest x-ray unremarkable. Biopsy showed large budding yeast in "Figure 8" configuration and culture confirmed North American Blastomycosis. Treated successfully with itraconazole.

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