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Blastomycosis

image Our 1 1/2 year old dog was diagnosed with blastomycosis in September. After nearly three months of being on the drug, Sporanox, it appears that he may be relapsing. Our vet has told us that here is no definitive test to show whether or not the disease is returning. We are supposed to give the dog two more weeks of the medicine and feel very frustrated as the lack of answers we are getting. Any suggestions?
image Blastomycosis is a fungal disease common to the East Coast of the United States. It is extremely rare to find a case in California. A dog becomes infected by inhaling the fungal spores, which set up the infection in the lungs. A fungus is like a plant that produces spores, which are like it's seeds. When the fungus dies, the spores may live for many months before growing more fungus. The disease is difficult to treat because the spores are highly resistant to medications, and almost impossible to detect. Once the fungus is eliminated, a single viable spore can start the whole infection all over again. Blood tests and x-rays are often beneficial in keeping track of an active fungal infection. However, a single dormant spore deep in the lungs is not detectable by these tests, so it may appear as though the fungus is gone, when spores remain. A typical treatment regimen is similar to cancer therapy. Initial long term aggressive treatment, with several years of surveillance tests and treatments as necessary.

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