Blastomycosis is a relatively rare fungal infection. Yearly incidence rates are reported to be 1 to 2 cases per 100,000 population in certain states where it’s reported. It is a potentially fatal infection that often occurs as a primary pulmonary infection and after lymphohematogenous spread presents with cutaneous ulcerations. The authors report a case of disseminated blastomycosis that originally manifested as a cutaneous lesion rapidly turning into a chronic wound.
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