Testing for Coccidioidomycosis among Patients with Community-Acquired Pneumonia

Chang, Douglas C.; Anderson, Shoana; Wannemuehler, Kathleen; Engelthaler, David M.; Erhart, Laura; Sunenshine, Rebecca H.; Burwell, Lauren A.; Park, Benjamin J.

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Testing for Coccidioidomycosis among Patients with Community-Acquired Pneumonia

Supporting Files Public Domain

Jul 2008
By Chang, Douglas C. ; Anderson, Shoana ; Wannemuehler, Kathleen

File Language:

English

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Chang, Douglas C. ; Anderson, Shoana ; Wannemuehler, Kathleen ; Engelthaler, David M. ; Erhart, Laura ; Sunenshine, Rebecca H. ; Burwell, Lauren A. ; Park, Benjamin J.
Description:

Coccidioidomycosis is a common cause of community-acquired pneumonia (CAP) in disease-endemic areas. Because testing rates influence interpretation of reportable-disease data and quality of CAP patient care, we determined the proportion of CAP patients who were tested for Coccidioides spp., identified testing predictors, and determined the proportion of tested patients who had positive coccidioidomycosis results. Cohort studies to determine the proportion of ambulatory CAP patients who were tested in 2 healthcare systems in metropolitan Phoenix found testing rates of 2% and 13%. A case-control study identified significant predictors of testing to be age >/=18 years, rash, chest pain, and symptoms for >/=14 days. Serologic testing confirmed coccidioidomycosis in 9 (15%) of 60 tested patients, suggesting that the proportion of CAP caused by coccidioidomycosis was substantial. However, because Coccidioides spp. testing among CAP patients was infrequent, reportable-disease data, which rely on positive diagnostic test results, greatly underestimate the true disease prevalence.
Subjects:
Source:

Emerg Infect Dis. 14(7):1053-1059.
Document Type:

Journal Article
Place as Subject:

Arizona
Location:

North America
Volume:

14
Issue:

7
Download URL:

https://stacks.cdc.gov/view/cdc/3182/cdc_3182_DS1.pdf
File Type:

[PDF - 264.52 KB]
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha-512:42d5bf563912ff3bd69dacf90db95368c466d66adb5670db1453aad512ad592aaa8df5828815bf65ffa621a00a7f6bf7517b97d5b6c1a954171da5c97c40b78b

File Language:

English

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