{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:14:28Z","timestamp":1753877668455,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T00:00:00Z","timestamp":1606176000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Blastomyces dermatitidis is an endemic mold infection commonly seen in the midwestern of the USA and rarely affects pregnant women. The most common presentation is a pulmonary infection with variable degrees of severity. Of note, the clinical and radiographic findings of pulmonary blastomycosis can be mistaken for other pulmonary pathologies, thus earning the title of \u2018the great pretender\u2019. The treatment of choice of infected pregnant patients is amphotericin B, which is known to produce electrolyte imbalances. However, it infrequently causes severe, prolonged and profound hypokalemia and hypomagnesemia. We present the case of a 27-year-old pregnant patient with pulmonary blastomycosis presenting with a lung mass suspicious of malignancy and treated with amphotericin B with subsequent prolonged refractory hypokalemia and hypomagnesemia.<\/jats:p>\n               <jats:p>Keywords<\/jats:p>\n               <jats:p>pulmonary blastomycosis<\/jats:p>\n               <jats:p>pregnancy<\/jats:p>\n               <jats:p>biopsy<\/jats:p>\n               <jats:p>computed tomography angiography<\/jats:p>\n               <jats:p>liposomal amphotericin B<\/jats:p>","DOI":"10.1093\/omcr\/omaa093","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T02:39:38Z","timestamp":1606271978000},"source":"Crossref","is-referenced-by-count":2,"title":["Unusual presentation of pulmonary blastomycosis complicated by amphotericin-induced refractory electrolyte abnormalities"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2514-5946","authenticated-orcid":false,"given":"Pool","family":"Tobar","sequence":"first","affiliation":[{"name":"Department of Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Sanchez-Nadales","sequence":"additional","affiliation":[{"name":"Department of Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Caldeira","sequence":"additional","affiliation":[{"name":"Department of Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peguy","family":"Saad","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,11,24]]},"reference":[{"key":"2020112408564214500_ref1","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1128\/CMR.00056-09","article-title":"Clinical and laboratory update on blastomycosis","volume":"23","author":"Saccente","year":"2010","journal-title":"Clin Microbiol Rev"},{"key":"2020112408564214500_ref2","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1186\/s12879-018-3244-0","article-title":"Pulmonary blastomycosis presenting as primary lung cancer","volume":"18","author":"Hussaini","year":"2018","journal-title":"BMC Infect Dis"},{"key":"2020112408564214500_ref3","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1053\/adpa.2002.34729","article-title":"Blastomycosis and pregnancy","volume":"6","author":"Lemos","year":"2002","journal-title":"Ann Diagn 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