It is caused by Lacazia loboi (formerly named Loboa loboi).[5] Transmission is generally by direct contact with contaminated water, soil, vegetation, or by direct contact with an infected dolphin.[1]
Diagnosis is by identifying Lacazia laboi in a lesion.[1]
This disease is usually found in humans[6] and bottlenose dolphins, with the possible risk of transmission from one species to the other.[7]
It was discovered by Brazilian dermatologist Jorge Lobo. Other names which were given to the disease are: keloidal blastomycosis, Amazonian blastomycosis, blastomycoid granuloma, miraip and piraip. These last two names were given by natives of the Amazon and mean that which burns.[8]