Details:

Alternative Title:
Emerg Infect Dis
Publisher's site:
http://dx.doi.org/10.3201/eid1709.101987
Personal Author:
Baddley, John W. ; Winthrop, Kevin L. ; Patkar, Nivedita M. ; Delzell, Elizabeth ; Beukelman, Timothy ; ... More +
Baddley, John W. ; Winthrop, Kevin L. ; Patkar, Nivedita M. ; Delzell, Elizabeth ; Beukelman, Timothy ; Xie, Fenglong ; Chen, Lang ; Curtis, Jeffrey R. ; Less -
Description:
To investigate the epidemiology and geographic distribution of histoplasmosis, coccidioidomycosis, and blastomycosis in older persons in the United States, we evaluated a random 5% sample of national Medicare data from 1999 through 2008. We calculated national, regional, and state-based incidence rates and determined 90-day postdiagnosis mortality rates. We identified 776 cases (357 histoplasmosis, 345 coccidioidomycosis, 74 blastomycosis). Patient mean age was 75.7 years; 55% were male. Histoplasmosis and blastomycosis incidence was highest in the Midwest (6.1 and 1.0 cases/100,000 person-years, respectively); coccidioidomycosis incidence rate was highest in the West (15.2). On the basis of available data, for 86 (11.1%) cases, there was no patient exposure to a traditional disease-endemic area. Knowledge of areas where endemic mycosis incidence is increased may affect diagnostic or prevention measures for older adults at risk.
Subject:
[+]
Aged
Blastomycosis
Coccidioidomycosis
Endemic Diseases
Female
Histoplasmosis
Humans
Incidence
Male
Retrospective Studies

Source:
Emerg Infect Dis. 17(9):1664-1669.
Document Type:
Journal Article ;
Funding:
R01HS018517/HS/AHRQ HHS/United States ;
Place as Subject:
United States ;
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:155c9632248f8cac1bcf8599172965bd1b7ddb8204d415f7a00e874a4c38d0f7
File Type:

Supporting Files

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