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Coccidioidomycosis in non-endemic areas: a case series.
Respir Med. 2001 Apr; 95(4):305-9.RM

Abstract

Coccidioidomycosis is a systemic infection caused by the soil fungus Coccidioides immitis, which is endemic to the south-western United States. Manifestations range from flu-like illness to pneumonia and septic shock. Diagnosis may be delayed or missed in non-endemic areas because of the low index of suspicion. We describe a series of 23 patients with coccidioidomycosis at one institution in a non-endemic area. Diagnosis was often delayed. In two patients, the route of exposure could not be determined, but 20 patients had a history of residence or travel to endemic areas, and the remaining patient had an occupational history of exposure to fomites from an endemic region. Five patients were immunosuppressed. Most patients responded well to medical therapy, surgery, or both. Although coccidioidomycosis is rare in non-endemic areas, physicians must keep it in mind when evaluating patients who have traveled to endemic areas or who are immunosuppressed.

Authors+Show Affiliations

Department of Pulmonary and Critical Care Medicine, Yale University School of Medicine, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11316114

Citation

Desai, S A., et al. "Coccidioidomycosis in Non-endemic Areas: a Case Series." Respiratory Medicine, vol. 95, no. 4, 2001, pp. 305-9.
Desai SA, Minai OA, Gordon SM, et al. Coccidioidomycosis in non-endemic areas: a case series. Respir Med. 2001;95(4):305-9.
Desai, S. A., Minai, O. A., Gordon, S. M., O'Neil, B., Wiedemann, H. P., & Arroliga, A. C. (2001). Coccidioidomycosis in non-endemic areas: a case series. Respiratory Medicine, 95(4), 305-9.
Desai SA, et al. Coccidioidomycosis in Non-endemic Areas: a Case Series. Respir Med. 2001;95(4):305-9. PubMed PMID: 11316114.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coccidioidomycosis in non-endemic areas: a case series. AU - Desai,S A, AU - Minai,O A, AU - Gordon,S M, AU - O'Neil,B, AU - Wiedemann,H P, AU - Arroliga,A C, PY - 2001/4/24/pubmed PY - 2001/5/18/medline PY - 2001/4/24/entrez SP - 305 EP - 9 JF - Respiratory medicine JO - Respir Med VL - 95 IS - 4 N2 - Coccidioidomycosis is a systemic infection caused by the soil fungus Coccidioides immitis, which is endemic to the south-western United States. Manifestations range from flu-like illness to pneumonia and septic shock. Diagnosis may be delayed or missed in non-endemic areas because of the low index of suspicion. We describe a series of 23 patients with coccidioidomycosis at one institution in a non-endemic area. Diagnosis was often delayed. In two patients, the route of exposure could not be determined, but 20 patients had a history of residence or travel to endemic areas, and the remaining patient had an occupational history of exposure to fomites from an endemic region. Five patients were immunosuppressed. Most patients responded well to medical therapy, surgery, or both. Although coccidioidomycosis is rare in non-endemic areas, physicians must keep it in mind when evaluating patients who have traveled to endemic areas or who are immunosuppressed. SN - 0954-6111 UR - https://www.unboundmedicine.com/medline/citation/11316114/Coccidioidomycosis_in_non_endemic_areas:_a_case_series_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0954-6111(00)91039-4 DB - PRIME DP - Unbound Medicine ER -