Original Works: Case ReportsKidneyBlastomyces dermatitidis in a Renal Transplant Recipient: A Case Report

•A case of rare cutaneous fungal infection (blastomycosis) in a kidney transplant recipient in Tunisia, a country outside the known endemic countries, is reported.•The diagnosis relies on histologic findings (ovoid fungi organisms: blastomyces in the cytoplasm of numerous macrophages).•The outcome was favorable with appropriate antifungal treatment.

Fungal infections have an important role in organ transplant recipients, and in some cases can be lethal. Blastomycosis is rare in kidney transplantation. We present a case of cutaneous blastomycosis in a kidney transplant recipient in Tunisia, a country outside the known endemic countries. This case, with the very uncommon and unexpected diagnosis of blastomycosis, demonstrates the diversity of infections in transplant recipients and reflects the importance of histologic and serologic tests in the immunocompromised patient.