title: Pulmonary coccidioidomycosis acquired during travel-a diagnostic and therapeutic challenge.
abstract: Reports of coccidioidomycosis are rare outside the Western hemisphere. We report the case of a 57 year-old Israeli who had returned from California with pneumonia. As his condition had deteriorated despite macrolides and beta-lactams, coccidioidomycosis was suspected. Both sputum culture and serology confirmed the diagnosis. Conventional doses of fluconazole were marginally beneficial, and a complete resolution was achieved only with very high doses. Travel to the South-Western United States may expose travelers to this uncommon disease.
authors.affiliation: Department of Medicine C, Rappaport Faculty of Medicine, Bnai Zion Medical Center, 47 Golomb Street, P.O. Box 4940, Technion, Haifa 31048, Israel.
authors.forename: Sharon
authors.initials: S
authors.lastname: Gino-Moor
authors.forename: Alona
authors.initials: A
authors.lastname: Paz
authors.forename: Neora
authors.initials: N
authors.lastname: Pick
authors.forename: Israel
authors.initials: I
authors.lastname: Potasman