Table 1 Geographic distribution of endemic fungal infections

Blastomycosis

Blastomyces dermatitidis

Midwestern, South Central, and Southeastern United States and Canada (especially Ohio and Mississippi Rivers, the Great Lakes, Saint Lawrence River, and Northern Ontario)

Coccidioidomycosis

Coccidioides immitis

Coccidioides posadasii

Southwestern United States (Arizona, California, Nevada, New Mexico, Texas, Utah), Mexico, and Central and South America

Cryptococcosis

Cryptococcus gattii

Pacific Northwest United States (Washington, Oregon) and Canada (British Columbia and Vancouver Island), Australia, Papua New Guinea

Also seen in parts of Africa, Asia, Europe, Mexico, and South America

Histoplasmosis

Histoplasma capsulatum

Worldwide especially river valleys in the United States (Ohio and Mississippi Rivers), Canada (Ontario, Quebec especially Saint Lawrence River)

Also seen in Central and South America, Africa, Asia, and Australia

Paracoccidioides

Paracoccidioides brasiliensis

Central and South America (Brazil, Venezuela, Colombia, and Argentina)

Talaromycosis

Talaromyces marneffei

Southeast Asia, southern China, eastern India