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Coccidioidomycosis: Imported and possible domestic cases in China: A case report and review, 1958‐2017
Author(s) -
Liang Guanzhao,
Shen Yongnian,
Lv Guixia,
Zheng Hailin,
Mei Huan,
Zheng Xiaoli,
Kong Xue,
Blechert Oliver,
Li Dongmei,
Liu Weida
Publication year - 2018
Publication title -
mycoses
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.13
H-Index - 69
eISSN - 1439-0507
pISSN - 0933-7407
DOI - 10.1111/myc.12750
Subject(s) - coccidioides , antifungal , china , coccidioides immitis , tuberculosis , medicine , antifungal drugs , dermatology , geography , pathology , archaeology
Summary We report a case of imported pulmonary coccidioidomycosis caused by Coccidioides posadasii in a patient who was misdiagnosed as tuberculosis and mistreated with antituberculosis medications for 18 months. The symptoms were not relieved until antifungal treatment was started. An extensive review of the coccidioidomycosis cases occurring in China reveals 38 cases, 16 of which had no associated history of travel to any traditional endemic areas. We speculate that some factors may drive Coccidioides spp. transference to China, which then causes those domestic infections. Moreover, we indicate the first, to the best of our knowledge, possible endemic areas in China.