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.
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The incidence of infectious skin disease has been shifting due to climate conditions that favor the transmission of microbes, and global skin cancer risk is rising due to ozone layer depletion.
“The incidence of infectious skin disease has been shifting due to climate conditions that favor the transmission of microbes, and global skin cancer risk is rising due to ozone layer depletion [98,99,100,101].”
From The Environmental Determinants of Skin Health: Linking Climate Change, Air Pollution, and the Dermatologic Disease Burden (2025) · cites this paper as [101]
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- Authors
- Marsden-Haug, N., Goldoft, M., Ralston, C., Limaye, A. P., Chua, J., Hill, H., Jecha, L., Thompson, G. R., & Chiller, T.
- Affiliations
- Washington State Department of Health (US)
- University of Washington (US)
- Trios Health (US)
- University of California, Davis (US)
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Marsden-Haug, N.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-12-07
- Volume
- 56
- Issue
- 6
- Pages
- 847-850
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2149707089
- Cited by
- 126
- References
- 0
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 7 · 2023: 6 · 2022: 9 · 2021: 10 · 2020: 10 · 2019: 15 · 2018: 11 · 2017: 10 · 2016: 9 · 2015: 7 · 2014: 9 · 2013: 5
- FWCI
- 5.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Health Sciences › Medicine › Microbiology › Actinomycetales infections and treatment
- Health Sciences › Medicine › Physiology › Sarcoidosis and Beryllium Toxicity Research
- Keywords
- coccidioidomycosis, Coccidioides, Washington State, delayed diagnosis, fungal epidemiology
- MeSH terms
- Adolescent, Child, Coccidioidomycosis, Humans, Male, Middle Aged, Washington, Endemic Diseases
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