Corticosteroids as adjunctive therapy in severe blastomycosis-induced acute respiratory distress syndrome in an immunosuppressed patient.

We describe the case of an immunosuppressed transplant recipient with disseminated blastomycosis (cutaneous, central nervous system, and pulmonary infection) complicated by septic shock and severe, refractory acute respiratory distress syndrome that improved markedly and rapidly after the addition of corticosteroids to the antifungal regimen.