<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been experiencing pain during my pregnancy, fatigue, ankle pain, and joint stiffness or tightness. Can you tell me what could be causing all these symptoms?  <response>: Based on your symptoms, it seems like you might be suffering from Blastomycosis, which is a type of fungal infection that can affect different parts of your body including your joints and lungs. I would suggest conducting some diagnostic tests to confirm the diagnosis and then start the treatment as soon as possible. 