Chuang Amy, Thomas Reeni, Hoffman Robert S
Department of Emergency Medicine, Bellevue Hospital Center, New York, NY 10016, USA.
J Urban Health. 2005 Jun;82(2):339-45. doi: 10.1093/jurban/jti057. Epub 2005 May 12.
Coccidioidomycosis is a disease caused by Coccidioides immitis, a soil-inhabiting fungus endemic to the desert climate of the southwestern United States and Central and South America. We report a case of disseminated coccidioidomycosis in a previously healthy person living in New York City, who was initially thought to have tuberculosis. The incidence of coccidioidomycosis has been increasing in both endemic and nonendemic areas, but diagnosis is often delayed or missed in nonendemic areas, resulting in extensive and unnecessary medical workup for other diseases or progression to serious disease. Therefore, clinicians should increase their awareness and consideration of this disease in patients with chronic systemic illness.
球孢子菌病是一种由粗球孢子菌引起的疾病,粗球孢子菌是一种生长在土壤中的真菌,在美国西南部以及中美洲和南美洲的沙漠气候地区为地方病。我们报告了一例居住在纽约市的既往健康者发生播散性球孢子菌病的病例,该患者最初被认为患有结核病。球孢子菌病在地方病流行区和非流行区的发病率均呈上升趋势,但在非流行区,诊断往往会延迟或漏诊,导致针对其他疾病进行广泛且不必要的医学检查,或病情进展为严重疾病。因此,临床医生应提高对患有慢性全身性疾病患者中这种疾病的认识并予以考虑。