Medical Diagnosis of Blastomycosis?: No
Where Caught: She may have been exposed in or near our yard, which is wooded and adjacent to wetlands in east central Minnesota. Or, she may have been exposed in the northwestern section of the BWCA, south of Lac La Croix in late July 2008.
She often scratches at the ground, and sniffs.
Symptoms: Began with occasional nonproductive coughing which lasted about 2-3 weeks (activity and appetite were normal during this time), followed by onset over two days of anorexia, weight loss, lethargy, fever, productive cough, weakness, exercise intolerance and increasing dyspnea.
No CNS, eye or skin involvement.
Cost of Treatment: About $650 so far; we are still in first week of treatment. If she survives, itraconazole will cost about $250-$300/month.
Additional Comments: Blastomycosis is suspected but not confirmed. Chest x-ray was consistent with blastomycosis; antibody titer negative.