title: Coccidioidomycosis in armadillo hunters from the state of Ceará, Brazil.
abstract: Coccidioidomycosis is a systemic mycosis with a variable clinical presentation. Misdiagnosis of coccidioidomycosis as bacterial pneumopathy leads to inappropriate prescription of antibiotics and delayed diagnosis. This report describes an outbreak among armadillo hunters in northeastern Brazil in which an initial diagnosis of bacterial pneumonia was later confirmed as coccidioidomycosis caused by Coccidioides posadasii. Thus, this mycosis should be considered as an alternative diagnosis in patients reporting symptoms of pneumonia, even if these symptoms are only presented for a short period, who are from areas considered endemic for this disease.
authors.affiliation: Centro Especializado em Micologia Médica, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil. brilhante@ufc.br
authors.forename: Raimunda Sâmia Nogueira
authors.initials: RS
authors.lastname: Brillhante
authors.forename: Renato Evando
authors.initials: RE
authors.lastname: Moreira Filho
authors.forename: Marcos Fábio Gadelha
authors.initials: MF
authors.lastname: Rocha
authors.forename: Débora de Souza Collares Maia
authors.initials: Dde S
authors.lastname: Castelo-Branco
authors.forename: Maria Auxiliadora Bezerra
authors.initials: MA
authors.lastname: Fechine
authors.forename: Rita Amanda Chaves de
authors.initials: RA
authors.lastname: Lima
authors.forename: Yuri Vieira Cunha
authors.initials: YV
authors.lastname: Picanço
authors.forename: Rossana de Aguiar
authors.initials: Rde A
authors.lastname: Cordeiro
authors.forename: Zoilo Pires de
authors.initials: ZP
authors.lastname: Camargo
authors.forename: José Ajax Nogueira
authors.initials: JA
authors.lastname: Queiroz
authors.forename: Roberto Wagner Bezerra de
authors.initials: RW
authors.lastname: Araujo
authors.forename: Jacó Ricarte Lima de
authors.initials: JR
authors.lastname: Mesquita
authors.forename: José Júlio Costa
authors.initials: JJ
authors.lastname: Sidrim
mesh_terms: D000293:Adolescent; D000818:Animals; D001135:Armadillos / Q000382:microbiology*; D001938:Brazil / Q000453:epidemiology; D003045:Coccidioides / Q000302:isolation & purification; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000453:epidemiology; D004196:Disease Outbreaks; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000175:diagnosis* / Q000453:epidemiology; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D012988:Soil Microbiology