Diagnostic delay and antibiotic overuse in acute pulmonary blastomycosis

Jonathan D. Alpern, Nathan C. Bahr, Gabriela Vazquez-Benitez, David R. Boulware, Jonathan S. Sellman, George A. Sarosi

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


The diagnosis of blastomycosis is often delayed. We identified 28 cases of pulmonary blastomycosis in a retrospective chart review. Most patients received multiple antibiotic courses before being diagnosed, and the sputum KOH smear was rarely used. Diagnostic delay can be decreased with higher suspicion for pulmonary blastomycosis and early use of the sputum KOH smear.

Original languageEnglish (US)
JournalOpen Forum Infectious Diseases
Issue number2
StatePublished - Apr 1 2016


  • Antibiotic overuse
  • Diagnostic delay
  • Fungal infection
  • Pulmonary blastomycosis

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