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This report describes a patient with HD in whom concurrent pulmonary blastomycosis was recognized only after chemotherapy had started and dissemination had occurred. Although Blastomyces dermatitidis may behave as an opportunitist pathogen, there are no previous reports of blastomycosis in patients with HD. Undiagnosed active opportunistic infection at the time of diagnosis of HD may complicate staging as well as treatment. Biopsy of lung lesions with stain and culture for opportunistic pathogens should be considered in patients with newly diagnosed HD disease and atypical patterns of lung involvement.<\/jats:p>","DOI":"10.1002\/ajh.2830430211","type":"journal-article","created":{"date-parts":[[2007,2,21]],"date-time":"2007-02-21T13:16:06Z","timestamp":1172063766000},"page":"129-132","source":"Crossref","is-referenced-by-count":9,"title":["Reactivation and dissemination of blastomycosis complicating hodgkin's disease: A case report and review of the literature"],"prefix":"10.1002","volume":"43","author":[{"given":"Eric W.","family":"Winquist","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon L.","family":"Walmsley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil L.","family":"Berinstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,7,11]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"1707","volume-title":"Cancer: Principles and Practice of Oncology","author":"Hellman S","year":"1989"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/2.suppl_1.17"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-103-6-861"},{"key":"e_1_2_1_5_2","first-page":"31","article-title":"Blastomycosis","volume":"12","author":"Sarosi GA","year":"1986","journal-title":"Compr Ther"},{"key":"e_1_2_1_6_2","first-page":"728","article-title":"Blastomycosis: A new endemic focus in Canada","volume":"129","author":"Kane J","year":"1983","journal-title":"Can Med Assoc J"},{"key":"e_1_2_1_7_2","first-page":"877","article-title":"Systemic fungal infections: Diagnosis and treatment: I. 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