Case report details misdiagnosis of blastomycosis as tuberculosis, highlighting the need for differential diagnoses.
Blastomycosis is endemic in central and southern North America but rare in China. It can mimic community-acquired pneumonia, tuberculosis, or cancer. We describe a patient who initially had tuberculosis diagnosed and later had blastomycosis diagnosed through metagenomic detection, which aided diagnosis and treatment. Clinicians should consider blastomycosis in differential diagnoses for respiratory diseases.
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Guo et al. (2025) studied this question.
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