{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T04:11:48Z","timestamp":1751947908509,"version":"3.41.2"},"reference-count":8,"publisher":"Department of Medicine, Warren Alpert Medical School at Brown University","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Blastomycosis is a systemic endemic fungal infection caused by Blastomyces dermatitidis, a dimorphic fungus, that predominantly affects the lungs but can disseminate to other organs, mimicking many diseases, making diagnosis challenging. We present a case of disseminated blastomycosis in a male, initially misdiagnosed as syphilis due to a false positive biopsy result for Treponema pallidum. This case highlights the importance of considering atypical presentations of fungal infections, even in the presence of laboratory findings and outside of the normal geographic regions they may be found.<\/jats:p>","DOI":"10.56305\/001c.132257","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T11:52:14Z","timestamp":1743508334000},"source":"Crossref","is-referenced-by-count":0,"title":["From Syphilis to Surprise: Unmasking Disseminated Blastomycosis in a 20-Year-Old Male"],"prefix":"10.56305","volume":"4","author":[{"given":"Hanna","family":"Meek","sequence":"first","affiliation":[{"name":"Spokane Teaching Health Center","department":["Department of Internal Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Wahlgren","sequence":"additional","affiliation":[{"name":"Spokane Teaching Health Center","department":["Department of Internal Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2549-3203","authenticated-orcid":true,"given":"Rakin","family":"Solaiman","sequence":"additional","affiliation":[{"name":"Spokane Teaching Health Center","department":["Department of Internal Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Stewart","sequence":"additional","affiliation":[{"name":"Spokane Teaching Health Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Kahn","sequence":"additional","affiliation":[{"name":"Spokane Teaching Health Center","department":["Department of Internal Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cody","family":"Howdeshell","sequence":"additional","affiliation":[{"name":"Spokane Teaching Health Center","department":["Department of Internal Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"35509","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1007\/s12281-012-0110-1","article-title":"Epidemiologic and Ecologic Features of Blastomycosis: A Review","volume":"6","author":"K. Benedict","year":"2012","journal-title":"Curr Fungal Infect Rep"},{"key":"ref2","first-page":"188","article-title":"The endemic mimic: blastomycosis an illness often misdiagnosed","volume":"125","author":"R. W., Jr. Bradsher","year":"2014","journal-title":"Trans Am Clin Climatol Assoc"},{"issue":"1","key":"ref3","doi-asserted-by":"publisher","first-page":"117","DOI":"10.3390\/jof9010117","article-title":"Blastomycosis: A Review of Mycological and Clinical Aspects","volume":"9","author":"K. A. Linder","year":"2023","journal-title":"J Fungi (Basel)"},{"issue":"2","key":"ref4","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1016\/j.idc.2021.03.013","article-title":"Blastomycosis","volume":"35","author":"P. B. 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