Nigerian Postgraduate Medical Journal

ARTICLE
Year
: 2001  |  Volume : 8  |  Issue : 3  |  Page : 148--149

Pleural effusion from blastomycetes in an adult Nigerian: A case report


TM Ibrahim, ST Edinol 
 Aminu Kano Teaching Hospital, Kano, Nigeria

Correspondence Address:
T M Ibrahim
Aminu Kano Teaching Hospital, Kano
Nigeria

A 37 year old hide and skin trader in Northern Nigeria, presented with massive right sided purulent pleural effusion. This started with cough, chest pain and fever for 5 weeks following endotracheal intubation. He had chest tube inserted and was treated with antituberculous drugs for 10 weeks without improvement. Fungal studies on the sputum, and pleural fluid yielded Blastomycetes dermatitidis which responded excellently to ketoconazole and saline pleural lavage. This experience underscores the need for early suspicion of systemic mycosis in suspected cases of tuberculosis with poor or no response to treatment. This will reduce morbidity, mortality and cost of treatment.


How to cite this article:
Ibrahim T M, Edinol S T. Pleural effusion from blastomycetes in an adult Nigerian: A case report.Niger Postgrad Med J 2001;8:148-149


How to cite this URL:
Ibrahim T M, Edinol S T. Pleural effusion from blastomycetes in an adult Nigerian: A case report. Niger Postgrad Med J [serial online] 2001 [cited 2022 Jul 7 ];8:148-149
Available from: https://www.npmj.org/article.asp?issn=1117-1936;year=2001;volume=8;issue=3;spage=148;epage=149;aulast=Ibrahim;type=0