Treating and Preventing Blastomycosis

How Blastomycosis is Treated

Half of the people infected with Blastomycosis never develop symptoms. In mild and moderate cases, blastomycosis needs to be treated with antifungal medication. You may be on medication for as few as a couple weeks, or in some cases, a year or longer. This depends on how ill you are, if the fungus has spread beyond your lungs and your overall health status, including if you are currently living with a chronic lung disease or have a compromised immune system.

It will be important to maintain communication with your healthcare provider about your symptoms once you begin treatment. If your shortness of breath and cough aren’t getting better after a week, or if you experience new symptoms that are worrisome, your healthcare provider needs to know.

Signs of serious illness that require care at an emergency department include severe shortness of breath, chest pain, coughing up blood, seizures, confusion and high fever.

Recovery from blastomycosis may take weeks, months or even a year or more.  

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Recovery from serious lung infections, such as pneumonia, can take longer than you expect. Learn what you can do to help your body recover, when to reach out to your healthcare provider and how to help prevent future infections.

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Recovery from a serious lung infection may take longer than you expect. It can take weeks or even months before you are feeling back to normal. How long you feel sick depends on several factors, including the severity of your infection, your age, and your overall health status.

It’s important not to get discouraged, but gradually take steps each day to help your body recover.

An upper respiratory infection may affect your sinuses and throat. A lower respiratory infection may affect your airways but primarily impacts your lungs. Lower respiratory infections tend to be more serious and require longer recovery. Pneumonia is the most common respiratory infection, but there are many others. One thing all lower respiratory infections have in common is inflammation.

Fluid buildup and cell debris in the airways can take time to clear. The symptoms you are feeling, such as cough, fatigue, and shortness of breath, may linger as you heal.

Signs and symptoms to watch for and report back to your healthcare provider include if your fever returns, you experience chest pain or worsening shortness of breath, or if you develop any new symptoms that concern you.

While you are waiting for your body to recover, focus on taking the medications your healthcare provider has prescribed and good health practices such as lots of rest so your body can recover, fluids to keep the mucus in your lungs thin, and good food so your body has energy to heal.

It is important to keep your vaccinations up to date and any chronic health conditions well managed to help prevent future respiratory infections.

Given enough time and care, you will hopefully be feeling like yourself again soon.

Learn more at Lung.org

Preventing Blastomycosis

There isn’t a reliable test to determine if a specific area has Blastgomyces, so it’s best to simply be aware of where it is commonly found. This includes most of central and eastern United States. Among those areas, Wisconsin and Minnesota record the highest number of illnesses.

There aren’t very many practical measures to prevent exposure. There are a few things you can do to lower your risk of exposure, including avoiding large areas of dirt and near water. And if you aren’t able to do that, you could wear an N95 mask to help filter the air you breathe.

Learn More:

Avoiding Diseases From the Dirt (blog)

Finding Support

To talk to a trained respiratory professional who can help answer your questions and connect you with additional support, call the Lung Association's Lung HelpLine at 1-800-LUNGUSA. For more severe or chronic forms of blastomycosis, join an in-person or virtual support group through the Better Breathers Clubs, become a member of the Patient & Caregiver Network which is an online support program through the American Lung Association, and connect with others on our Living with Lung Disease Support Community page.

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Page last updated: October 3, 2025

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