blastomyces fungal organisms in skin biopsy specimen

pathology specimen fungus blastomyces dermatiditis disseminated mycology windborne soil chronic fatigue pink red purple granuloma granulomata granulomatous inflammation biopsy diagnosis nuclei broad based bud buds budding fungal histology infection infectious microscopic spores blastomycosis invasion invasive disease gms silver stain tissue sample medical treat antifungal itraconazole posaconazole fluconazole amphotericin