LAUSR

INTRODUCTION Emmonsia species are dimorphic fungi, which can cause human disease through inhalation of airborne conidia from soil. They convert into yeastlike cells, which replicate and cause extrapulmonary disease via hematological dissemination. Individuals with impaired cell-mediated immunity, such as those with HIV or transplant patients on immunosuppressive therapies, are more commonly infected. The majority of infected individuals present with respiratory symptoms and a widespread rash. More than 60 patients with Emmonsia species infections have been reported in South Africa, with the majority in the past 10 years; all but a few patients had HIV. Few cases have been reported from other countries. In these patients HIV was not ubiquitous, but rather many cases were in patients on immunosuppressive medications. Herein, we describe a case of Emmonsia in Canada diagnosed at the patient’s presentation to dermatology with a solitary facial nodule.