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Risk factors for acquisition of endemic blastomycosis
Maxym Choptiany1, Lyle Wiebe, Bill Limerick
1Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba;
Summary
Blastomycosis risk factors include immunosuppression and outdoor work. Canine blastomycosis is not linked to human cases. Understanding these factors aids in preventing this potentially fatal fungal infection.
Area of Science:
- Mycology
- Infectious Diseases
- Epidemiology
Background:
- Blastomycosis is a serious fungal infection with poorly understood environmental risk factors.
- Identifying these factors is crucial for prevention and public health strategies.
Purpose of the Study:
- To investigate environmental and occupational risk factors associated with acquiring blastomycosis.
- To identify key determinants for blastomycosis development in endemic regions.
Main Methods:
- A matched cross-sectional questionnaire study was conducted.
- 112 blastomycosis patients and 118 control subjects from Manitoba and northwestern Ontario participated.
Main Results:
- Pulmonary, skin, soft tissue, and bone were most commonly affected by blastomycosis.
- Outdoor occupations, immunosuppression (due to disease or therapy), and hypothyroidism were significantly associated with blastomycosis.
- No significant association was found between canine and human blastomycosis.
Conclusions:
- Independent risk factors for blastomycosis include immunosuppression, collagen vascular disease, outdoor work, and occupational exposure.
- Canine blastomycosis does not appear to be a risk factor for human infection in dog owners.
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