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Treatment of pulmonary blastomycosis with high-dose liposomal amphotericin B in a patient receiving extracorporeal membrane oxygenation
  1. Ryan Servais1,
  2. Mahmoud A Ammar2 and
  3. Payal K Gurnani3
  1. 1 Department of Pharmacy, Aurora Saint Luke’s Medical Center, Milwaukee, Wisconsin, USA
  2. 2 Department of Pharmacy, Yale-New Haven Hospital, New Haven, Connecticut, USA
  3. 3 Department of Pharmacy, Rush University Medical Center, Chicago, Illinois, USA
  1. Correspondence to Dr Mahmoud A Ammar, mahmoud.ammar{at}


Blastomycosis-associated acute respiratory distress syndrome (ARDS) has a rare incidence. We report the case of a 29-year-old man with blastomycosis-associated ARDS receiving extracorporeal membrane oxygenation and managed with high-dose liposomal amphotericin B. This case illustrates the importance of timely diagnosis of pulmonary blastomycosis and appropriate dosing of antifungal therapy.

  • pneumonia (infectious disease)
  • infections
  • pharmacology and therapeutics

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  • Contributors RS was part of the medical care during admittance of the patient. RS, MAA and PKG wrote the final manuscript, approved the final version of the article and equally contributed to the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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