My 11-yr-old, 66 lb daughter was released today from our local hospital, after being admitted Monday morning. She was vomitting w/ a high (104) fever all day/night Sunday, by Monday morning she had such severe chest pain, I brought her to ER. They did pain killer, benedryl thru IV immediately. They did chest xray which showed a dark, circular, fish-sized spot on the upper half of her left lung. They then did a cat scan. (I never saw that). The ER doctor said it looked like a tumor to him, but that two xray techs said it looked like pneumonia to them. It WAS an "odd presentation", and she didn't have even the slightest cough, but he tended to agree. It seemed just a little too convenient to her dad & I. Her white blood cells were high, fever was high, and she was moderately dehydrated, so he hospitalized her. That afternoon my husband called and said he believed it to be blastomycosis. He, my daughter, and her twin brother have spend much of the summer an hour or so north at hunting shack digging and buiding an add'l shack in the woods/swamp. I mentioned it the doctor. She was released Thur pm, her temp is normal (w/out tylenol), vitals good/consistent, the chest pain is manageable w/ little or no pain killer/reliever, white blood cells are normal, and she's becoming congested. She doesn't really COUGH, I think because it hurts her. My husband still believes it to blasto. We live in a rural area w/ a limited hospital, in fact, we haven't even recieved blood test results that were sent out Monday. They sent a urine sample for a suppossed blasto test Tue, but OF COURSE that isn't back. The pneumonia tests they've done here ("grow the germ") are all either negative or inconclusive. My husband & I are both still wringing our fists wondering if we should bring her to Mpls/St Paul to see a specialist.