Coccidioidomycosis acquired in Washington State.

@article{MarsdenHaug2013CoccidioidomycosisAI,
  title={Coccidioidomycosis acquired in Washington State.},
  author={Nicola Marsden-Haug and Marcia J. Goldoft and Cindy Ralston and Ajit P Limaye and Jimmy Chua and Heather Hill and Larry Jecha and George R Thompson and Tom M. Chiller},
  journal={Clinical infectious diseases : an official publication of the Infectious Diseases Society of America},
  year={2013},
  volume={56 6},
  pages={847-50}
}
Clinical, laboratory, and epidemiologic evidence suggest that 3 individuals with acute coccidioidomycosis were exposed in Washington State, significantly beyond previously identified endemic areas. Given the patients' lack of recent travel, coccidioidomycosis was not suspected, leading to delays in diagnosis and appropriate therapy. Clinicians should be aware of this possibility and consider the diagnosis. 

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