There are several fungal diseases that are systemic in nature, meaning they are affecting multiple body systems. Blastomycosis, caused by "Blastomyces dermatitidis", is a fungal disease that affects both dogs and humans. It is transmitted through the inhalation of fungal spores. It is found mainly in the United States in the Mississippi River and Great Lakes areas. It has also been reported in four Canadian provinces; Saskatchewan, Manitoba, Ontario and Quebec. Signs include weight loss, cough, fever, enlarged lymph nodes, draining skin lesions, eye inflammation with discharge, blindness, and lameness. Because dogs are ten times more likely to become infected from the environment than humans, they are considered to be sentinels for the disease. Treatment requires a minimum 60–90-day course of oral antifungal medication or in severe cases intravenous antifungal injections.