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Blastomycosis in northwestern Ontario, 2004 to 2014.

Dalcin D, Ahmed SZ - Can J Infect Dis Med Microbiol (2015 Sep-Oct)

Bottom Line: Aboriginals were observed to be disproportionately represented in the patient population.Of the patients whose smoking status was known, 71.4% had a history of smoking. 59.4% of patients had underlying comorbidities and a higher comorbidity rate was observed among Aboriginal patients.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Northern Ontario School of Medicine, Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ontario.

ABSTRACT
Blastomycosis is an invasive fungal disease caused by Blastomyces dermatitidis and the recently discovered Blastomyces gilchristii. The medical charts of 64 patients with confirmed cases of blastomycosis in northwestern Ontario during a 10-year period (2004 to 2014) were retrospectively reviewed. The number of patients diagnosed with blastomycosis in Ontario was observed to have increased substantially compared with before 1990, when blastomycosis was removed from the list of reportable diseases. Aboriginals were observed to be disproportionately represented in the patient population. Of the patients whose smoking status was known, 71.4% had a history of smoking. 59.4% of patients had underlying comorbidities and a higher comorbidity rate was observed among Aboriginal patients. The case-fatality rate from direct complications of blastomycosis disease was calculated to be 20.3%; this case-fatality rate is the highest ever to be reported in Canada and more than double that of previously published Canadian studies. The clinical characteristics of 64 patients diagnosed with blastomycosis are summarized.

No MeSH data available.


Related in: MedlinePlus

Age distribution of all patients diagnosed with blastomycosis versus patients diagnosed with blastomycosis who died. Most of the 13 patients who died directly from blastomycosis-related complications at the Thunder Bay Regional Health Services Centre (Thunder Bay, Ontario) were middle-aged. There were no deaths of patients <20 or >79 years of age
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f2-cjidmm-26-259: Age distribution of all patients diagnosed with blastomycosis versus patients diagnosed with blastomycosis who died. Most of the 13 patients who died directly from blastomycosis-related complications at the Thunder Bay Regional Health Services Centre (Thunder Bay, Ontario) were middle-aged. There were no deaths of patients <20 or >79 years of age

Mentions: All patients had a diagnosis of blastomycosis established at the time of death. The age of patients that died ranged from 26 to 73 years (Figure 2). Eleven (84.5%) of the patients that died were between 26 to 55 years of age. Nine (67%) of the patients that died were male.


Blastomycosis in northwestern Ontario, 2004 to 2014.

Dalcin D, Ahmed SZ - Can J Infect Dis Med Microbiol (2015 Sep-Oct)

Age distribution of all patients diagnosed with blastomycosis versus patients diagnosed with blastomycosis who died. Most of the 13 patients who died directly from blastomycosis-related complications at the Thunder Bay Regional Health Services Centre (Thunder Bay, Ontario) were middle-aged. There were no deaths of patients <20 or >79 years of age
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644009&req=5

f2-cjidmm-26-259: Age distribution of all patients diagnosed with blastomycosis versus patients diagnosed with blastomycosis who died. Most of the 13 patients who died directly from blastomycosis-related complications at the Thunder Bay Regional Health Services Centre (Thunder Bay, Ontario) were middle-aged. There were no deaths of patients <20 or >79 years of age
Mentions: All patients had a diagnosis of blastomycosis established at the time of death. The age of patients that died ranged from 26 to 73 years (Figure 2). Eleven (84.5%) of the patients that died were between 26 to 55 years of age. Nine (67%) of the patients that died were male.

Bottom Line: Aboriginals were observed to be disproportionately represented in the patient population.Of the patients whose smoking status was known, 71.4% had a history of smoking. 59.4% of patients had underlying comorbidities and a higher comorbidity rate was observed among Aboriginal patients.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Northern Ontario School of Medicine, Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ontario.

ABSTRACT
Blastomycosis is an invasive fungal disease caused by Blastomyces dermatitidis and the recently discovered Blastomyces gilchristii. The medical charts of 64 patients with confirmed cases of blastomycosis in northwestern Ontario during a 10-year period (2004 to 2014) were retrospectively reviewed. The number of patients diagnosed with blastomycosis in Ontario was observed to have increased substantially compared with before 1990, when blastomycosis was removed from the list of reportable diseases. Aboriginals were observed to be disproportionately represented in the patient population. Of the patients whose smoking status was known, 71.4% had a history of smoking. 59.4% of patients had underlying comorbidities and a higher comorbidity rate was observed among Aboriginal patients. The case-fatality rate from direct complications of blastomycosis disease was calculated to be 20.3%; this case-fatality rate is the highest ever to be reported in Canada and more than double that of previously published Canadian studies. The clinical characteristics of 64 patients diagnosed with blastomycosis are summarized.

No MeSH data available.


Related in: MedlinePlus