Blastomycosis

Cutaneous lesions  /  Ajellomyces (Blastomyces) dermatitidis in tissues  /  Ajellomyces (Blastomyces) dermatitidis

  Blastomycosis:  Secondary cutaneous lesions.  Aspirates often show yeast cells  
     
       
  Typical early lesions   Typical early lesions   Lesion resembling basal cell carcinoma  
             
       
  Papulopustular lesion with some scarring in the center   Older lesions      
         
   

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  Ajellomyces (Blastomyces) dermatitidis:  In tissue samples  
       
       
  Systemic blastomycosis (mucin stain)   In skin
(H + E)
  Acute pulmenary  
             
       
  Lung tissue (fluorescence stain)   In pus (unstained)   In giant cell (methenamine silver stain)  
         
   

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  Ajellomyces (Blastomyces) dermatitidis:  The agent of blastomycosis  
       
     
  Yeast cells and hyphae   Hyphae and holoblastic conidia  
         
     
  Colony on SDA   L) Holoblastic conidia.
R) Yeast cells
 
         
   

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