Coccidioidal Pneumonia, Phoenix, Arizona, USA, 2000–2004

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Kim, Michelle M. ; Blair, Janis E. ; Carey, Elizabeth J. ; Wu, Qing ; Smilack, Jerry D.
• Description:
  Community-acquired pneumonia (CAP) often results in severe illness and death. In large, geographically defined areas where Coccidioides spp. are endemic, coccidioidomycosis is a recognized cause of CAP, but its frequency has not been studied extensively. To determine the frequency of patients with coccidioidomycosis, we conducted a prospective evaluation of 59 patients with CAP in the Phoenix, Arizona, area. Of 35 for whom paired coccidioidal serologic testing was performed, 6 (17%) had evidence of acute coccidioidomycosis. Coccidioidal pneumonia was more likely than noncoccidioidal CAP to produce rash. The following were not found to be risk factors or reliable predictors of infection: demographic features, underlying medical conditions, duration of time spent in disease-endemic areas, occupational and recreational activities, initial laboratory studies, and chest radiography findings. Coccidioidomycosis is a common cause of CAP in our patient population. In the absence of distinguishing clinical features, coccidioidal pneumonia can be identified only with appropriate laboratory studies.
• Subjects:
  Adult Aged Aged, 80 And Over Coccidioidomycosis Community-Acquired Infections Endemic Diseases Female Humans Incidence Lung Diseases, Fungal Male Middle Aged Pneumonia Risk Factors

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• Source:
  Emerg Infect Dis. 15(3):397-401.
• Document Type:
  Journal Article
• Place as Subject:
  Arizona
• Volume:
  15
• Issue:
  3
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:c33435a4930bc8eb090ab2e3b5c11a82cbc76071bfde7e0572892e8a787f094c
• Download URL:
  https://stacks.cdc.gov/view/cdc/17708/cdc_17708_DS1.pdf
• File Type:
  [PDF - 176.95 KB ]