Clin Infect Dis. (2013) 56 (6): 847-850. doi: 10.1093/cid/cis1028
Coccidioidomycosis Acquired in Washington State
Nicola Marsden-Haug1,
Marcia Goldoft1,
Cindy Ralston2,
Ajit P. Limaye4,
Jimmy Chua3,
Heather Hill2,
Larry Jecha2,
George R. Thompson III5, and
Tom Chiller6
Abstract
Clinical, laboratory, and epidemiologic evidence suggest that 3 individuals with acute coccidioidomycosis were exposed in Washington State, significantly beyond previously identified endemic areas. Given the patients? lack of recent travel, coccidioidomycosis was not suspected, leading to delays in diagnosis and appropriate therapy. Clinicians should be aware of this possibility and consider the diagnosis.
Key words
Coccidioides
coccidioidomycosis
endemic fungi
Washington
Received July 9, 2012.
Accepted November 28, 2012.
? The Author 2012. Published by Oxford University Press on behalf of the Infectious Diseases
