Abstract
The clinical, histological, mycological, radiological and scintigraphic features of a 42-year-old Namibian male with blastomycosis are described. This appears to be the first documented incidence of blastomycosis in Namibia. Leucocyte myeioperoxidase deficiency was evident. Treatment with itraconazole led to dramatic resolution of lesions. A reactive xanthogranulomatous response was present in a healed clavicular lesion.

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