Primary Cutaneous Blastomycosis of the Nose After Arboreal Inoculation: Molecular Diagnosis by Fungal PCR and Next-Generation Sequencing.
BACKGROUND Blastomycosis, caused by Blastomyces dermatitidis and the closely related Blastomyces gilchristii, is a systemic mycosis endemic to the Great Lakes region and the Mississippi and Ohio River valleys. Primary cutaneous blastomycosis from direct inoculation-without pulmonary or systemic involvement-is rare, wit...