Cutaneous blastomycosis masquerading as pyoderma gangrenosum

Abstract

Cutaneous blastomycosis (CB) is associated with a variety of skin manifestations. Among other entities, CB may be mistaken for pyoderma gangrenosum due to overlap of findings on histopathologic examination. We report a case of CB, initially diagnosed as pyoderma gangrenosum and treated with steroids, leading to disseminated blastomycosis and acute respiratory distress syndrome (ARDS). Copyright © 2014, American Society for Microbiology. All Rights Reserved.