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Blastomycosis Presenting With Acute Airway Obstruction From a Retropharyngeal Abscess and Complicated by Severe Hypokalemia During Posaconazole Therapy: A Case Report and Review of Literature.

Authors :
Hanna JJ
Guastadisegni JM
Kouma MA
Knez EB
Arasaratnam RJ
Storey DF
Source :
Open forum infectious diseases [Open Forum Infect Dis] 2022 Aug 11; Vol. 9 (8), pp. ofac414. Date of Electronic Publication: 2022 Aug 11 (Print Publication: 2022).
Publication Year :
2022

Abstract

We report a case of cervical blastomycosis with associated paravertebral involvement and severe spinal canal stenosis in a 48-year-old patient presenting with acute airway obstruction from a retropharyngeal abscess. Our case was also complicated by severe hypokalemia that developed during the blastomycosis treatment course with posaconazole and which improved after discontinuation and replacement therapy. After 12 months of blastomycosis-targeted therapy, our patient had complete resolution of clinical, laboratory, and radiological findings of blastomycosis.<br />Competing Interests: Potential conflicts of interest. The authors: No reported conflicts.<br /> (© The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America.)

Details

Language :
English
ISSN :
2328-8957
Volume :
9
Issue :
8
Database :
MEDLINE
Journal :
Open forum infectious diseases
Publication Type :
Report
Accession number :
36043181
Full Text :
https://doi.org/10.1093/ofid/ofac414