Clinicians in Ontario should be aware of symptoms and areas where disease is endemic

Armstrong

Bakerspigel

Baumgardner

Bernstein

Bialek

Bill Limerick

Bradsher

Cano

Catherinot

Centers for Disease Control

Chapman

Chaturvedi

Chesney

Cockerill

Crampton

Dismukes

Dwight

E. Lee Ford-Jones

Frances Jamieson

Gilchrist

Jason Brophy

Kane

Kepron

Kitchen

Klein

Laskey

Leone

Lester

Lyle Wiebe

Maxson

Morgan

Nicolle

Pappas

Parker

Patricia C. Parkin

Powel

Richard Summerbell

Schutze

Shaun K. Morris

St. Germain

Steele

Susan E. Richardson

Tosh

Wallace

Emerging Infectious Diseases

English

PubMed

We describe a case of blastomycosis in an 8-year-old boy with Blastomyces-associated osteomyelitis and possible pulmonary involvement. We also identify 309 cases of blastomycosis in Ontario that were seen during a 10-year period, 57% of which occurred from 2001 to 2003. The overall incidence during the study period was 0.30 cases per 100,000 population. Most patients were from north Ontario (n = 188), where the incidence was 2.44 cases per 100,000. The incidence in the Toronto region was 0.29 per 100,000. Thirteen percent of cases occurred in children <19 years of age. These findings substantially increase the number of known cases in Ontario and Canada. Clinicians may encounter persons infected with Blastomyces dermatitidis and must be familiar with its signs and symptoms and be aware of locations, such as northwestern Ontario, where disease is endemic or hyperendemic. We advocate resuming blastomycosis as a reportable disease in Ontario to facilitate tracking cases

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Blastomycosis in Ontario, 1994–2003

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Blastomycosis in Ontario, 1994–2003

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