Locality: Hudson, MA
Medical Diagnosis of Blastomycosis?: Yes
Where Caught: Near Walker, MN, on Leech Lake.
Symptoms: He developed a cough. Two months earlier our female basenji, Jemba, had died from Blasto.
Treatment: Immediately after he started coughing we had him seen by Tufts University Veterinary Hospital. They started him on itraconazole, though they had not yet diagnosed Blasto. The "cluster" was deep in his lung and they couldn't get a sample. As his cough got worse, and the blasto spread inside the lung, they were able to get a sample of the sputum, which gave them the diagnosis.
After two days of itraconazole, his condition had deteriorated severely, so they added IV Amphotericin B every other day (5 hours in the hospital/day).
After his first Amphotericin B treatment, his condition was grave.
After one week of treatment, he started to gain strength.
Five months of follow-up itraconazole.
Annual liver screening.
Cost of Treatment: Though I've never calculated it, it is in excess of $5,000. Since we had him in a New England teaching hospital, the vet shaved the prices quite often just because they were learning so much about Blasto that they wouldn't otherwise. Rather than hospitalize him for the week of IV treatment, we brought him home each night. (He is so high strung that the stress of being away from us literally would have killed him.)
Additional Comments: July exposure, January symptoms. Longer incubation period than most I've read.