| • | organism – Blastomyces dermatitidis |
| • | endemic in Ohio and Mississippi river valleys |
| • | unlike other respiratory dimorphic organisms, Blastomycosis is associated with cutaneous involvement (80%) and may be the presenting manifestation, therefore always consider primary pulmonary infection, even without symptoms |
| • | tissue phase (37º) – thick walled, broad-based buds (“figure eight” appearance) |
| • | (mnemonic = B’s blastomycosis with a single broad-based bud) |
see Deep Fungus