Cited by 81Fungal Infections and StudiesActinomycetales infections and treatmentPneumocystis jirovecii pneumonia detection and treatment

Coccidioidomycosis-associated Deaths, United States, 1990–2008

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Huang, Jennifer Y., Bristow, Benjamin, Shafir, Shira, Sorvillo, Frank·2012·Emerging Infectious Diseases

Abstract

Coccidioidomycosis is endemic to the Americas; however, data on deaths caused by this disease are limited.To determine the rate of coccidioidomycosisassociated deaths in the United States, we examined multiple cause-coded death records for 1990-2008 for demographics, secular trends, and geographic distribution.Deaths were identifi ed by International Classifi cation of Diseases, 9th and 10th Revision, codes, and mortality rates were calculated.Associations of deaths among persons with selected concurrent conditions were examined and compared with deaths among a control group who did not have coccidioidomycosis.During the 18-year period, 3,089 coccidioidomycosis-associated deaths occurred among US residents.The overall age-adjusted mortality rate was 0.59 per 1 million person-years; 55,264 potential life-years were lost.Those at highest risk for death were men, persons >65 years, Hispanics, Native Americans, and residents of California or Arizona.Common concurrent conditions were HIV and other immunosuppressive conditions.The number of deaths from coccidioidomycosis might be greater than currently appreciated.C occidioidomycosis is a reemerging infectious disease caused by inhalation of airborne spores of the soil fungus Coccidioides immitis or C. posadasii (1).Coccidioides spp.are native to arid and desert areas in North America (California, Arizona, Texas, Utah, Nevada, Coccidioidomycosis-associated Deaths, United States,

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  • Several epidemiological studies reported higher incidence rates of coccidioidomycosis among racial and ethnic minorities in the US endemic regions.

    “Several epidemiological studies reported higher incidence rates of coccidioidomycosis among racial and ethnic minorities in the US endemic regions [136–138].”

    From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [137]

  • The odds of disseminated coccidioidomycosis disease are as high as 5 to 10 times the rates seen among white individuals.

    “with several reports alluding that black or African American individuals have the highest associated mortality, dissemination, and hospitalizations, with odds of disseminated disease as high as 5 to 10 times the rates seen among the white individuals [137,152–155]”

    From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [137]

  • Black or African American individuals have the highest associated mortality, dissemination, and hospitalizations from coccidioidomycosis.

    “with several reports alluding that black or African American individuals have the highest associated mortality, dissemination, and hospitalizations, with odds of disseminated disease as high as 5 to 10 times the rates seen among the white individuals [137,152–155]”

    From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [137]

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  1. Rosenstein NE, Emery KW, Werner SB, Kao A, Johnson R, Rogers D, et al. Risk factors for severe pulmonary and disseminated coccidioidomycosis: Kern County, California, 1995-1996. Clin Infect Dis. 2001;32:708-15. http://dx.doi.org/10.1086/319203 · DOI · Paper page

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Authors
Huang, J. Y., Bristow, B., Shafir, S., & Sorvillo, F.
Affiliations
  • Centers for Disease Control and Prevention (US)
  • University of Southern California (US)
Corresponding author
Sorvillo, Frank
Venue
Emerging Infectious Diseases
Published
2012-11
Volume
18
Issue
11
Pages
1723-1728
ISSN
  • 1080-6040 (ISSN-L)
  • 1080-6059
OpenAlex
W2033446179
Cited by
81
References
32
Citations by year
2026: 4 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 8 · 2021: 6 · 2020: 6 · 2019: 9 · 2018: 5 · 2017: 4 · 2016: 12 · 2015: 3 · 2014: 5 · 2013: 5 · 2012: 1
FWCI
3.34
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Emerging infectious diseases (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
  • Health Sciences › Medicine › Microbiology › Actinomycetales infections and treatment
  • Health Sciences › Medicine › Epidemiology › Pneumocystis jirovecii pneumonia detection and treatment
Keywords
coccidioidomycosis, Coccidioides immitis, Coccidioides posadasii, mortality, age-adjusted mortality rates, HIV coinfection, immunosuppression, re-emerging infectious diseases, geographic distribution, California, Arizona, Hispanic population, Native Americans, secular trends
MeSH terms
Age Factors, Coccidioidomycosis, Female, Humans, Male, United States, History, 20th Century, History, 21st Century

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