Pneumonia in both patients was associated with blastomycosis. Blastomycosis is a disease caused by the inhalation of spores from fungus found in soil and rotting wood. In the United States, the disease occurs sporadically throughout the Ohio and Mississippi River valleys. Physicians and veterinarians should maintain a high index of suspicion for fungal diseases, like blastomycosis, in patients with pneumonia who participate in outdoor occupational or recreational activities. This report describes the first known cases of blastomycosis in Colorado.
Many health plans provide limited or no coverage of the five most effective non-permanent methods.
In addition, a recent study found that only half of enrollees in managed care plans and one-third of enrollees in Medicaid managed care plans received information about contraceptive methods.