Fungal Infection (Blastomycosis) Average Cost

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What is Fungal Infection (Blastomycosis)?

Blastomycosis in dogs is a fungal disease that begins its infection in the lungs and then spreads to other bodily tissues. This infection is caused by the Blastomyces dermatitidis, which is commonly found in moist soil and within decomposing wood and leaves. It can also be found in animal waste in a moist environment.  This fungus is found in North America and is more prevalent in Mississippi, the Ohio River Valley, Missouri, and the Mid-Atlantic states. It is also found in Canada; it is known to be in Manitoba, Quebec, Ontario, and Saskatchewan.

Once spores enter the body through inhalation, yeast is formed that infects the lungs and begins to spread to other tissues. It is spread through the lymphatic system or through the bloodstream.

Blastomycosis in dogs is caused by a fungus, Blastomyces dermatitidis, which is commonly found in moist areas of soil, leaves, and wood. The infection begins in the lungs and spreads to other parts of the body.

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Symptoms of Fungal Infection (Blastomycosis) in Dogs

If your dog becomes infected with the fungus Blastomyces dermatitis, he will exhibit specific symptoms that will warrant a trip to the veterinarian. Symptoms of blastomycosis may vary depending on the severity of the disease, and where the disease is located or has spread. Symptoms can include:

  • Weight loss
  • Loss of appetite
  • Lethargy
  • High fever
  • Cough
  • Respiratory distress
  • Enlarged lymph nodes
  • Eye lesions
  • Conjunctivitis, or red eye
  • Discharge from the eye
  • Ulcers on the skin
  • Skin lesions
  • Neck pain
  • Circling
  • Confusion


This infection begins in the lungs, but if left untreated can spread to other parts of the body. The lung lesions can heal if treated early, thus not allowing the fungal infection to spread. Making an appointment with the veterinarian as soon as your dog shows clinical signs is important to diagnose and treat the infection as early as possible. Types of areas this infection can spread to include:

  • Eyes
  • Bones
  • Skin
  • Lymph Nodes
  • Other tissues, which is less common

Causes of Fungal Infection (Blastomycosis) in Dogs

Causes of blastomycosis are mostly relative to the environment in which the dog is being raised. Sporting and hunting dogs that are ages two to four years old are shown to be more affected. Causes include:

  • Exposure to soil with Blastomyces dermatitidis
  • Exposure to moss and wooded areas with Blastomyces dermatitidis
  • Exposure to moist areas with this type of fungus
  • The inhalation of the Blastomyces dermatitidis

Diagnosis of Fungal Infection (Blastomycosis) in Dogs

If you suspect your dog has a fungal infection, or is exhibiting the symptoms above, be sure to call your veterinarian and make an appointment. The veterinarian will ask about the dog’s history and may also ask what type of environment he is in when outside, to give her a clue as to any type of fungus that he could be infected with.

The veterinarian will want to take a complete blood count and biochemistry profile to check for any infections or other abnormalities. If the veterinarian suspects this type of fungal infection, then she will perform a thoracic imaging test, to get a closer look at your companion’s lungs. The infection may also be revealed in cytologic testing by the collection of samples of tissue and further studying of the cells within the tissue.

The medical professional may also perform other testing, such as urinary antigen testing, polymerase chain reaction examinations, and serologic testing. It will be important that the veterinarian runs several different types of test to be sure she gets an accurate diagnosis of blastomycosis. If your veterinarian suspects that the fungus has spread to other body tissues, she will order even more tests that are specific to the area of the body that may be affected. She may run tests on any skin lesions your dog may have, test the ocular areas, perform a radiograph of the bones, or biopsy any suspected tissue.

Treatment of Fungal Infection (Blastomycosis) in Dogs

The main method of treatment for this fungal infection is the use of antifungal medications. There is a wide variety of fungal-fighting drugs, and your veterinarian will prescribe the one (or more than one) which will work the best to kill any fungus that is infecting your loved one.

Recovery of Fungal Infection (Blastomycosis) in Dogs

Once your dog begins taking the medication prescribed by your veterinarian, and if the fungal infection is caught in the early stages (before it has spread and become very severe), your loved one may begin to feel better before you know it. Prognosis is good if this is caught early.

Your veterinarian will give you updates on prognosis, and all of this depends on your dog, the severity of his blastomycosis, and how his body is responding to the treatments. Be sure to give your dog the needed medication until it is finished. In terms of exercise, it is important to limit your dog’s play and running in order to allow the lungs to heal, and your veterinarian may prescribe or recommend a change in diet to keep him as stimulated as possible in terms of appetite.

This condition may be prevented by keeping your dog way from the environments that house this type of fungus. It is very difficult to avoid Blastomyces dermatitidis, especially if you live in an area that is at risk for contamination and if your dog is an outdoor sporting or working dog. Knowing the clinical signs will keep you proactive in finding quick treatment if your dog is to become infected. If your dog does become infected, please be aware that it can spread from dogs to humans via bite wounds, and it is important to see your physician if you feel you may have become infected by your dog or another dog.

Fungal Infection (Blastomycosis) Questions and Advice from Veterinary Professionals

2 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

fever, swollen lymph nodes

My 2 year old Aussie mix has been suspected of Blastomycosis. She had the urinalysis done Friday and we are currently waiting on the test results. I have seen that sometimes the prognosis is good, and at times it is not! Also, that the treatment can be very costly. She is deteriorating day by day, and I am so worried that she may not make it through this. She has no cough, so I am hoping there is no respiratory involvement. What is the average span of time they have before it is just a lost cause? She has a fever or 104. Blue film covering her eye, fatigued, weak, still eating and drinking. She has swollen lymph nodes, no cough, open wounds on her legs and one on her neck. Her paw is swollen, so they are suspecting bone involvement.

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4 Years
Serious condition
1 found helpful
Serious condition

Has Symptoms

Heavy Breathing
Lathargic weak
Cloudy swollen eyes

Medication Used


I'm not sure what to do. My dog has blasto and he is so sick. I hate for him to suffer. He is coughing up some thick foamy phlegm. He hadn't ate since yesterday and can't move. He has loss control of his movement's and urinr. I've been giving him ketocanazole and pedialyte. I don't want him go suffer. How do I know when enough is enough. Can they recover after they suffer from ataxia?

Dr. Michele King, DVM
Dr. Michele King, DVM
1611 Recommendations
I'm sorry that that is happening to Bo, that is very difficult to see him like that, I am sure. Sometimes fungal infections can take a long time to resolve, and I'm not sure how long he has been on Ketoconazole, if it is just going to take more time, or if he is not responding to the treatment. Since your veterinarian is treating him and knows more about his particular situation, it would be a good idea to have a recheck for him and see if he needs more intensive therapy, IV fluids or hospitalization until he turns a corner. I hope that he is okay.

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Black Labrador
Serious condition
1 found helpful
Serious condition

Has Symptoms

no energy
Labored breathing in his chest

We have a 2 year old black lab that has been treated for kennel cough for 2 weeks. Steroids, antibiotic with no improvement symptoms only getting worse he acts like someone with asthma that is struggling to get his next breath. Today the vet did chest x-ray and it showed a very large mass in his lungs. He sent out a urine sample to see if it was a fungal mass. He said with his age he didn't think it would be cancer. We have had 5 vet visits over the last 2 weeks well over $1000 at this point. And I'm seeing the treatment for this disease is very expensive. We are a normal working class family and can't do $5-6000 to treat him. I really don't know what to do. Plus we have a acre and a half yard with a invisible fence so he is never out of our yard so even if I can afford to treat him will he not get it again since obviously it had to come from my yard.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3320 Recommendations

On an acre and a half of land there are plenty of different places where Khan may have been exposed to fungal spores, especially if you have trees, fallen branches or bushes on your land; given his age, cancer is unlikely but not impossible. Fluid analysis from a tracheal wash may show the presence of a fungal infection; also blood tests would be valuable in the diagnostic process. Whilst I sympathise with your financial situation, there is a diagnostic process which needs to be completed so that the primary cause can be established so that effective treatment can be given. Regards Dr Callum Turner DVM

Hi. I know that it's been over 3 months since you submitted your dog's symptoms but I wanted to share that if you have access to a Costco pharmacy you may be able to get Itraconazole for a fraction of the cost. I live in the Chicago area and was told by my vet that medication could be $500 per month. I did a lot of research and went to Costco and I paid $180 for 3 months of treatment for Itraconazole. My dog is on 2 x 100mg per day. Another option is using the GoodRx app which provides coupons for other pharmacies if you don't have access to Costco.

Katie A,

I was so thankful to read your post! My Lab has blastomycosis and is in such sad shape. Can you please share how you were able to get the Itroconazole at the discounted price at Costco? I am desperate and can't bear the thought of losing my best friend!

Thanks in advance for you help!

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Serious condition
0 found helpful
Serious condition

Has Symptoms

Eye Inflamation

Hi there, my husky mix has been coughing for over a month now. She was treated for bronchitis two weeks ago and put on an antibiotic and steroid. Within a day of finishing her treatment, she began getting other symptoms. She had red, itchy eyes, a limp, no desire to eat or drink, and she has absolutely no energy. She has also had a 103.6 fever ever since she first went to the vet almost three weeks ago. We took her to a new vet that thinks she has Blasto, and we are waiting for the results before treating. My concern is that it has been a month now with symptoms, and we have to wait several more days until Monday for results before we can even begin treatment. Do you think this has been too long for a successful outcome if she has Blasto?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3320 Recommendations
Whilst a quick diagnosis (your description sounds like Blastomycosis) and treatment is important for a favourable prognosis, Kaleiya should respond well to treatment once given if it is Blastomycosis but treatment may last a few months and still may not be successful. Itraconazole is a common effective antifungal medication which is commonly used. Regards Dr Callum Turner DVM

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2 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms


My dog was diagnosed with blasto .89 level so early stage she is being treated with mg spoanox. How often should she get a urinalysis test, lung xray ,and bloodwork?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3320 Recommendations

Most dogs diagnosed with blastomycosis respond to itraconazole treatment, although recurrence is common. There is no real set interval for screening, but looking out for symptoms and visiting your every few months would give you a good indication of overall health. Regards Dr Callum Turner DVM

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