JOSEPH E. JOHNSON III, M.D.; JOHN E. PERRY, M.D.; F. ROBERT FEKETY, M.D.; PAUL J. KADULL, M.D.; LEIGHTON E. CLUFF, M.D., F.A.C.P.
In the United States, coccidioidomycosis has been rather sharply localized to six states in the southwestern part of the country. It is within this area, corresponding to the Lower Sonoran zone, that the organism Coccidioides immitis is indigenous to the soil, and the disease is endemic (1).
The organism is found near the edges of semiarid areas with fine soil where dust clouds are easily generated. In these locations individuals involved in certain types of outdoor pursuits, such as agriculture, are likely to inhale the organism and become infected (2). Coccidioidomycosis, therefore, is often an occupationally related disease.
JOHNSON JE, PERRY JE, FEKETY FR, KADULL PJ, CLUFF LE. Laboratory-acquired Coccidioidomycosis: A Report of 210 Cases. Ann Intern Med. ;60:941–956. doi: 10.7326/0003-4819-60-6-941
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Published: Ann Intern Med. 1964;60(6):941-956.
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