{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T22:00:56Z","timestamp":1761948056614,"version":"3.44.0"},"reference-count":30,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2015,4,1]],"date-time":"2015-04-01T00:00:00Z","timestamp":1427846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,4,1]],"date-time":"2015-04-01T00:00:00Z","timestamp":1427846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journal.chestnet.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Chest"],"published-print":{"date-parts":[[2015,4]]},"DOI":"10.1378\/chest.14-1858","type":"journal-article","created":{"date-parts":[[2015,4,7]],"date-time":"2015-04-07T03:30:56Z","timestamp":1428377456000},"page":"e140-e147","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["A 66-Year-Old Woman With Fever, Cough, and a Tongue Lesion"],"prefix":"10.1016","volume":"147","author":[{"given":"Viral","family":"Gandhi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amteshwar","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail L.","family":"Woods","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleg","family":"Epelbaum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"6","key":"10.1378\/chest.14-1858_bib1","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1055\/s-0031-1295722","article-title":"Pulmonary blastomycosis","volume":"32","author":"Bariola","year":"2011","journal-title":"Semin Respir Crit Care Med"},{"issue":"2","key":"10.1378\/chest.14-1858_bib2","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.ccm.2009.02.003","article-title":"Blastomycosis: new insights into diagnosis, prevention, and treatment","volume":"30","author":"McKinnell","year":"2009","journal-title":"Clin Chest Med"},{"issue":"3","key":"10.1378\/chest.14-1858_bib3","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1053\/adpa.2002.34575","article-title":"Blastomycosis: the great pretender can also be an opportunist. Initial clinical diagnosis and underlying diseases in 123 patients","volume":"6","author":"Lemos","year":"2002","journal-title":"Ann Diagn Pathol"},{"issue":"2","key":"10.1378\/chest.14-1858_bib4","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"},{"issue":"1","key":"10.1378\/chest.14-1858_bib5","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1148\/radiology.150.1.6689789","article-title":"Miliary pulmonary blastomycosis","volume":"150","author":"Stelling","year":"1984","journal-title":"Radiology"},{"issue":"17","key":"10.1378\/chest.14-1858_bib6","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1056\/NEJM199310213291704","article-title":"Overwhelming pulmonary blastomycosis associated with the adult respiratory distress syndrome","volume":"329","author":"Meyer","year":"1993","journal-title":"N Engl J Med"},{"issue":"6","key":"10.1378\/chest.14-1858_bib7","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1053\/adpa.2000.20755","article-title":"Blastomycosis: organ involvement and etiologic diagnosis. A review of 123 patients from Mississippi","volume":"4","author":"Lemos","year":"2000","journal-title":"Ann Diagn Pathol"},{"issue":"3","key":"10.1378\/chest.14-1858_bib8","first-page":"219","article-title":"Endemic blastomycosis in Mississippi: epidemiological and clinical studies","volume":"12","author":"Chapman","year":"1997","journal-title":"Semin Respir Infect"},{"issue":"5","key":"10.1378\/chest.14-1858_bib9","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/00005792-199309000-00003","article-title":"Blastomycosis in immunocompromised patients","volume":"72","author":"Pappas","year":"1993","journal-title":"Medicine (Baltimore)"},{"issue":"10","key":"10.1378\/chest.14-1858_bib10","doi-asserted-by":"crossref","first-page":"847","DOI":"10.7326\/0003-4819-116-10-847","article-title":"Blastomycosis in patients with the acquired immunodeficiency syndrome","volume":"116","author":"Pappas","year":"1992","journal-title":"Ann Intern Med"},{"issue":"9","key":"10.1378\/chest.14-1858_bib11","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1001\/archinte.1981.00340090119026","article-title":"Acute miliary blastomycosis after \u2018short-course' corticosteroid treatment","volume":"141","author":"Berger","year":"1981","journal-title":"Arch Intern Med"},{"issue":"1","key":"10.1378\/chest.14-1858_bib12","doi-asserted-by":"crossref","first-page":"50","DOI":"10.7326\/0003-4819-88-1-50","article-title":"Endogenous activation in blastomycosis","volume":"88","author":"Laskey","year":"1978","journal-title":"Ann Intern Med"},{"issue":"6 pt 2","key":"10.1378\/chest.14-1858_bib13","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/0002-9343(89)90483-X","article-title":"Endogenous reactivation in blastomycosis","volume":"86","author":"Ehni","year":"1989","journal-title":"Am J Med"},{"issue":"5","key":"10.1378\/chest.14-1858_bib14","first-page":"812","article-title":"Blastomycosis. 3. A comparative study of 2-hydroxystilbamidine and amphotericin B therapy","volume":"105","author":"Busey","year":"1972","journal-title":"Am Rev Respir Dis"},{"issue":"12","key":"10.1378\/chest.14-1858_bib15","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1086\/588300","article-title":"Infectious Diseases Society of America. Clinical practice guidelines for the management of blastomycosis: 2008 update by the Infectious Diseases Society of America","volume":"46","author":"Chapman","year":"2008","journal-title":"Clin Infect Dis"},{"issue":"12","key":"10.1378\/chest.14-1858_bib16","doi-asserted-by":"crossref","first-page":"e107","DOI":"10.1086\/498152","article-title":"The epidemiology of blastomycosis in Illinois and factors associated with death","volume":"41","author":"Dworkin","year":"2005","journal-title":"Clin Infect Dis"},{"issue":"3","key":"10.1378\/chest.14-1858_bib17","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1378\/chest.69.3.345","article-title":"Clinical and roentgenographic manifestations of acute and chronic blastomycosis","volume":"69","author":"Cush","year":"1976","journal-title":"Chest"},{"issue":"1","key":"10.1378\/chest.14-1858_bib18","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1148\/120.1.25","article-title":"Pulmonary manifestations of blastomycosis. Radiological support of a new concept","volume":"120","author":"Rabinowitz","year":"1976","journal-title":"Radiology"},{"issue":"1","key":"10.1378\/chest.14-1858_bib19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1148\/radiology.150.1.6689749","article-title":"Pulmonary blastomycosis: radiologic manifestations","volume":"150","author":"Halvorsen","year":"1984","journal-title":"Radiology"},{"issue":"6","key":"10.1378\/chest.14-1858_bib20","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.2214\/ajr.154.6.2110723","article-title":"Pulmonary blastomycosis: findings on chest radiographs in 63 patients","volume":"154","author":"Sheflin","year":"1990","journal-title":"AJR Am J Roentgenol"},{"issue":"1","key":"10.1378\/chest.14-1858_bib21","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S0025-6196(12)61172-0","article-title":"Roentgenologic features of pulmonary blastomycosis","volume":"66","author":"Brown","year":"1991","journal-title":"Mayo Clin Proc"},{"issue":"3","key":"10.1378\/chest.14-1858_bib22","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/00007611-199903000-00006","article-title":"Clinical presentation, radiographic findings, and diagnostic methods of pulmonary blastomycosis: a review of 100 consecutive cases","volume":"92","author":"Patel","year":"1999","journal-title":"South Med J"},{"issue":"4","key":"10.1378\/chest.14-1858_bib23","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1097\/00007611-199504000-00004","article-title":"Blastomycosis: pulmonary and pleural manifestations","volume":"88","author":"Failla","year":"1995","journal-title":"South Med J"},{"issue":"3","key":"10.1378\/chest.14-1858_bib24","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1378\/chest.77.3.455a","article-title":"Pulmonary blastomycosis diagnosed by thoracocentesis","volume":"77","author":"Hargis","year":"1980","journal-title":"Chest"},{"issue":"8","key":"10.1378\/chest.14-1858_bib25","first-page":"441","article-title":"Blastomycosis in a young African man presenting with a pleural effusion","volume":"13","author":"Alvarez","year":"2006","journal-title":"Can Respir J"},{"issue":"3","key":"10.1378\/chest.14-1858_bib26","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1148\/radiology.182.3.1535903","article-title":"Blastomycosis of the lung: CT features","volume":"182","author":"Winer-Muram","year":"1992","journal-title":"Radiology"},{"issue":"4","key":"10.1378\/chest.14-1858_bib27","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1155\/2009\/763018","article-title":"Computed tomographic scan evaluation of pulmonary blastomycosis","volume":"20","author":"Ronald","year":"2009","journal-title":"Can J Infect Dis Med Microbiol"},{"key":"10.1378\/chest.14-1858_bib28","doi-asserted-by":"crossref","unstructured":"Graybill JR, Anstead GM, Queiroz-Telles F. Th e diagnosis of endemic mycoses. In: Maertens JA, Marr KA, eds. Diagnosis of Fungal Infections. New York, NY: Informa Healthcare USA, Inc ; 2007: 291 - 354.","DOI":"10.3109\/9781420017182-12"},{"issue":"3","key":"10.1378\/chest.14-1858_bib29","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1378\/chest.121.3.768","article-title":"Pulmonary blastomycosis: an appraisal of diagnostic techniques","volume":"121","author":"Martynowicz","year":"2002","journal-title":"Chest"},{"issue":"8","key":"10.1378\/chest.14-1858_bib30","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1001\/jama.1981.03310330026018","article-title":"The cytological diagnosis of pulmonary blastomycosis","volume":"245","author":"Trumbull","year":"1981","journal-title":"JAMA"}],"container-title":["Chest"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0012369215389789?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0012369215389789?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T07:07:29Z","timestamp":1757920049000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0012369215389789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["S0012369215389789"],"URL":"https:\/\/doi.org\/10.1378\/chest.14-1858","relation":{},"ISSN":["0012-3692"],"issn-type":[{"type":"print","value":"0012-3692"}],"subject":[],"published":{"date-parts":[[2015,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A 66-Year-Old Woman With Fever, Cough, and a Tongue Lesion","name":"articletitle","label":"Article Title"},{"value":"Chest","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1378\/chest.14-1858","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2015 The American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}