Blastomycosis Presenting With Acute Airway Obstruction From a Retropharyngeal Abscess and Complicated by Severe Hypokalemia During Posaconazole Therapy: A Case Report and Review of Literature

Overview

Journal Open Forum Infect Dis

Specialty Infectious Diseases

Date 2022 Aug 31

PMID 36043181

Authors

John J Hanna

Jessica M Guastadisegni

Marcus A Kouma

Emily B Knez

Reuben J Arasaratnam

Donald F Storey

Affiliations

Soon will be listed here.

Abstract

We report a case of cervical blastomycosis with associated paravertebral involvement and severe spinal canal stenosis in a 48-year-old patient presenting with acute airway obstruction from a retropharyngeal abscess. Our case was also complicated by severe hypokalemia that developed during the blastomycosis treatment course with posaconazole and which improved after discontinuation and replacement therapy. After 12 months of blastomycosis-targeted therapy, our patient had complete resolution of clinical, laboratory, and radiological findings of blastomycosis.

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PMID: 37755392 PMC: 10840811. DOI: 10.1097/QCO.0000000000000971.

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