{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:41:41Z","timestamp":1784623301860,"version":"3.55.0"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    Blastomycosis is a fungal infection caused by\n                    <jats:italic toggle=\"yes\">Blastomyces dermatitidis<\/jats:italic>\n                    , which is hyperendemic to areas of Northwestern Ontario, Canada. Delayed diagnosis is common due to the condition\u2019s nonspecific clinical presentation, often resembling malignancy or other dermatological and infectious diseases. We report the case of a 27-year-old otherwise healthy male with an early presentation of disseminated cutaneous blastomycosis. Early recognition of cutaneous blastomycosis can significantly reduce morbidity, mortality, and the overall treatment burden by facilitating timely antifungal therapy. This case shares valuable early clinical presentation and photographs for clinical reference, aiding in earlier disease recognition.\n                  <\/jats:p>","DOI":"10.1177\/2050313x251350366","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T08:24:34Z","timestamp":1751531074000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cutaneous lesions and early presentation of disseminated blastomycosis: A case report"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5719-1846","authenticated-orcid":false,"given":"Lily","family":"Xu","sequence":"first","affiliation":[{"name":"Sioux Lookout Meno Ya Win Health Centre, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Langley","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Faculty of Medicine, University of Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Gwyn","sequence":"additional","affiliation":[{"name":"Sioux Lookout Meno Ya Win Health Centre, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Boyle","sequence":"additional","affiliation":[{"name":"Sioux Lookout Meno Ya Win Health Centre, ON, Canada"},{"name":"Clinical Sciences Division, Northern Ontario School of Medicine, Thunder Bay, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoko","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Sioux Lookout Meno Ya Win Health Centre, ON, Canada"},{"name":"Clinical Sciences Division, Northern Ontario School of Medicine, Thunder Bay, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Miceli A Krishnamurthy K. Blastomycosis. In: StatPearls. StatPearls Publishing http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441987\/ (2024 accessed 8 December 2024)."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.5070\/D329662992"},{"key":"e_1_3_2_4_2","unstructured":"Northwestern Health Unit. Blastomycosis information for health care providers https:\/\/www.nwhu.on.ca\/for-professionals\/for-health-care-professionals\/blastomycosis-information-for-health-care-providers\/ (2024 accessed 8 December 2024)."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1155\/2009\/824101"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/jof9010117"},{"issue":"9","key":"e_1_3_2_7_2","article-title":"Primary cutaneous blastomycosis: an ulcerated wound in an immunocompetent patient","volume":"15","author":"Melton M","year":"2023","unstructured":"Melton M, Nole KB. Primary cutaneous blastomycosis: an ulcerated wound in an immunocompetent patient. Cureus 2023; 15(9): e45786.","journal-title":"Cureus"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0365-05962013000200022"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.17294\/2330-0698.1452"},{"key":"e_1_3_2_10_2","article-title":"Cutaneous blastomycosis presenting as a nonhealing wound in the northeast United States: a case report","volume":"2022","author":"Shah H","year":"2022","unstructured":"Shah H, Carstensen T, Kmeid M, et al. Cutaneous blastomycosis presenting as a nonhealing wound in the northeast United States: a case report. Int J Low Extrem Wounds 2022; 2022: 15347346221140782.","journal-title":"Int J Low Extrem Wounds"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.136.4.547"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002280050280"}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251350366","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X251350366","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251350366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:20:20Z","timestamp":1767676820000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X251350366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,3]]},"references-count":11,"alternative-id":["10.1177\/2050313X251350366"],"URL":"https:\/\/doi.org\/10.1177\/2050313x251350366","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,3]]},"article-number":"2050313X251350366"}}