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Animal Blastomycosis Case Report Form - Minnesota Dept. of Health. Animal Blastomycosis Case report form to submit to Minnesota Dept. of Health.

Animal Blastomycosis Case Report Form - Minnesota Dept. of Health. Animal Blastomycosis Case report form to submit to Minnesota Dept. of Health. 2026

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The document is an Animal Blastomycosis Case Report Form designed for veterinarians in Minnesota to report cases of blastomycosis in pets. It includes sections for demographic information, clinical illness history, diagnostic information, and case summary, allowing for detailed documentation of the pet's symptoms, treatment, and outcomes.

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Click ‘Get Form’ to open the Animal Blastomycosis Case Report Form in our editor.
Begin by filling out the Demographic Information section. Enter the owner's name, address, city, zip code, phone numbers, email, and veterinary clinic details.
In the Pet Information section, provide the pet's name, species, date of birth, sex, spayed/neutered status, and whether the pet is primarily indoors or outdoors.
List any symptoms observed in your pet by checking the appropriate boxes. Indicate if the pet has been hospitalized for blastomycosis and detail any treatments received.
Complete the Diagnostic Information section by entering lab names and collection dates for various tests conducted on your pet.
Fill in Clinical Illness History with illness onset and first appointment dates. Provide weight and breed information as well.
Finally, summarize the case by indicating the type of blastomycosis and marking all affected locations if applicable.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (50 Votes)
2017	4.4 Satisfied (183 Votes)

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Is blastomycosis reportable in Minnesota?

There is one form for reporting human blastomycosis cases, and one form for veterinary cases. Any reportable infectious disease may be reported by phone to 651-201-5414 or 877-676-5414.

What are the reportable fungal infections?

Standardized national surveillance for fungal diseases Two fungal diseases are nationally notifiable: Coccidioidomycosis (Valley fever) Clinical cases of Candida auris infection.

Which animal is most susceptible to blastomycosis?

Blastomycosis is a systemic fungal infection that most commonly affects dogs, and to a lesser extent humans and other mammals. This mycosis is endemic in certain regions of the United States and Canada around the Great Lakes, and in the Ohio and in the Mississippi river valleys.

What is the doc for blastomycosis?

is the drug of choice in mild-to-moderate pulmonary blastomycosis. It offers ease of oral administration, low toxicity, and high efficacy. The appropriate dose is 600 mg per day for 3 days, then 200-400 mg per day for 6-12 months. Gastric acidity is required for absorption of .

Is blastomycosis reportable?

How to report blastomycosis. There is one form for reporting human blastomycosis cases, and one form for veterinary cases. Any reportable infectious disease may be reported by phone to 651-201-5414 or 877-676-5414.

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Is blastomycosis an infectious disease?

Blastomycosis is endemic in the Ohio and Mississippi River valleys, and near the Great Lakes and southeastern parts of the United States. The annual incidence is less than 1 case per 100,000 people in the commonly affected states of Mississippi, Kentucky, Arkansas, and Wisconsin.

Is blastomycosis a reportable disease?

Blastomycosis is reportable in certain states, including Michigan. Physicians and laboratories are required to report suspected cases of blastomycosis to the Michigan Disease Surveillance System or the local health department.

Animal Blastomycosis Case Report Form - Minnesota Dept. of Health. Animal Blastomycosis Case report form to submit to Minnesota Dept. of Health. 2026

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