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Microbiology and Epidemiology
Blastomyces dermatitidis is a dimorphic fungus that is found in the southeastern and south-central states bordering the Mississippi and Ohio river basins, in areas of the United States and Canada bordering the Great Lakes and the St. Lawrence River, and sporadically in Africa, the Middle East, and India. Infection is caused by inhalation of Blastomyces from moist soil rich in organic debris.