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    Nemeth, Nicole M. Campbell, G. Douglas Oesterle, Paul T. Shirose, Lenny McEwen, Beverly and Jardine, Claire M. 2016. Red Fox as Sentinel forBlastomyces dermatitidis, Ontario, Canada. Emerging Infectious Diseases, Vol. 22, Issue. 7, p. 1275.

    Azar, Marwan M. Assi, Roland Relich, Ryan F. Schmitt, Bryan H. Norris, Steven Wheat, L. Joseph and Hage, Chadi A. 2015. Blastomycosis in Indiana. Chest, Vol. 148, Issue. 5, p. 1276.

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Endemic human blastomycosis in Quebec, Canada, 1988–2011

  • I. V. LITVINOV (a1), G. St-GERMAIN (a2), R. PELLETIER (a3), M. PARADIS (a4) and D. C. SHEPPARD (a1)
  • DOI:
  • Published online: 29 August 2012

Blastomycosis is a systemic fungal infection found in various parts of the world. A review of literature for Quebec, Canada revealed only few case reports with the most recent one dating back to 1993. However, whether Quebec represents an important endemic region for blastomycosis in North America is unknown. In this work we reviewed 158 cases of human blastomycosis documented in Quebec during 1988–2011 using microbiological records available from the provincial public health laboratory. The estimated annual incidence of blastomycosis in the province is was ∼0·133 cases per 100 000 individuals with the highest rates of 0·79 and 0·46 cases per 100 000 recorded in South-eastern and South-western Quebec. Moreover, the annual incidence rate significantly increased over the past 20 years. This study for the first time establishes Quebec as an important endemic region for Blastomyces dermatitidis.

Corresponding author
*Author for correspondence: I. V. Litvinov, M.D., Ph.D., 687 Pine Avenue West, Suite H7.83, Royal Victoria Hospital, McGill University Health Centre, Montreal, Quebec H3A 1A1, Canada. (Email:
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1.JA Smith , CA Kauffman . Blastomycosis. Proceedings of the American Thoracic Society 2010; 7: 173–80.

3.SK Morris , Blastomycosis in Ontario, 1994–2003. Emerging Infectious Diseases 2006; 12: 274279.

4.BS Klein , Isolation of Blastomyces dermatitidis in soil associated with a large outbreak of blastomycosis in Wisconsin. New England Journal of Medicine 1986; 314: 529534.

5.TL Crampton , Epidemiology and clinical spectrum of blastomycosis diagnosed at Manitoba hospitals. Clinical Infectious Diseases 2002; 34: 13101316.

7.AS Sekhon , MS Bogorus , HV Sims . Blastomycosis: report of three cases from Alberta with a review of Canadian cases. Mycopathologia 1979; 68: 5363.

8.LE Nicolle , Invasive fungal infections in Canada from 1992–1994. Canadian Journal of Infectious Diseases 1995; 9: 347352.

10.G St-Germain , R Duperval . Blastomycosisin Quebec (1981–90): Report of 23 cases and review of published cases from Quebec. Canadian Journal of Infectious Diseases 1993; 4: 8994.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
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