title: Coccidioidomycosis acquired in Washington State.
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.
authors.affiliation: Office of Communicable Disease Epidemiology, Washington State Department of Health, Shoreline, WA 98155, USA. nicola.marsden-haug@doh.wa.gov
authors.forename: Nicola
authors.initials: N
authors.lastname: Marsden-Haug
authors.forename: Marcia
authors.initials: M
authors.lastname: Goldoft
authors.forename: Cindy
authors.initials: C
authors.lastname: Ralston
authors.forename: Ajit P
authors.initials: AP
authors.lastname: Limaye
authors.forename: Jimmy
authors.initials: J
authors.lastname: Chua
authors.forename: Heather
authors.initials: H
authors.lastname: Hill
authors.forename: Larry
authors.initials: L
authors.lastname: Jecha
authors.forename: George R
authors.initials: GR
authors.lastname: Thompson
authors.forename: Tom
authors.initials: T
authors.lastname: Chiller
mesh_terms: D000293:Adolescent; D002648:Child; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000453:epidemiology*; D019353:Endemic Diseases; D006801:Humans; D008297:Male; D008875:Middle Aged; D014861:Washington / Q000453:epidemiology