{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T23:27:29Z","timestamp":1773098849542,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T00:00:00Z","timestamp":1626048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Blastomycosis is a fungal infection caused primarily by <jats:italic>Blastomyces dermatitis<\/jats:italic>. The fungus is endemic to the Ohio, Mississippi, and St. Lawrence River areas of the United States. Organ transplant recipients are at risk of blastomycosis due to pharmacologic immunosuppression. Over a 20\u2010year period, 30 cases of blastomycosis post\u2010solid organ transplantation were identified at our center. The cumulative incidence of blastomycosis among SOT recipients was 0.99%. There was a male predominance (70% male) and a median age of 59 at the time of diagnosis. Regarding transplant type, 23 patients received kidney transplants, 4 received liver transplants, 2 received pancreas transplants and 1 received a heart transplant. Median time to blastomycosis identification post\u2010transplant was 67.8\u00a0months (range: 1\u2010188\u00a0months). Amphotericin B was used as initiation therapy in most cases, followed by itraconazole, voriconazole, or in select cases fluconazole or posaconazole maintenance therapy. Regarding comorbid conditions, 87% of patients had diabetes, 50% had congestive heart failure, and 20% had chronic pulmonary disease. Nine patients (30%) developed blastomycosis\u2010related acute respiratory distress syndrome, 33% of these died with a median time to death of 22\u00a0days (range 20\u00a0days to 2\u00a0months); these were the only deaths attributable to blastomycosis.<\/jats:p>","DOI":"10.1111\/tid.13671","type":"journal-article","created":{"date-parts":[[2021,6,19]],"date-time":"2021-06-19T13:50:22Z","timestamp":1624110622000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Blastomycosis in solid organ transplant recipients\u2014A retrospective series from southeastern Wisconsin"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6866-0054","authenticated-orcid":false,"given":"Tej I.","family":"Mehta","sequence":"first","affiliation":[{"name":"Department of Medicine Medical College of Wisconsin Wauwatosa WI 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