Darker shades of gray indicate higher number of cases and lighter shades correspond to fewer cases. Stars are present at sites of reported blastomycosis outbreaks and the hatched area corresponds to the endemic region depicted in the map from Panel B. B. Distribution map of blastomycosis in the United States and Canada. The state of Wisconsin is outlined by the dark line. Note that northcentral Wisconsin is not included as an endemic area in this map published in 2007. Reprinted with permission from the New England Journal of Medicine [9].