Word Count：2843語 (Time: 16'27'', 173 wpm)
- Diagnosis of blastomycosis is often delayed because of the low clinical suspicion at the patient’s presentation and the range of associated clinical symptoms.
- His travel history suggests that the geographically constrained fungi H. capsulatum and B. dermatitidis are considerations. Both these fungi are found in the Midwest.
- His pulmonary abnormalities may have conferred a predisposition to deep-vein thrombosis; both cancer and acute infection can increase the risk of venous thromboembolism.