Office of Communicable Disease Epidemiology, Washington State Department of Health, Shoreline, WA 98155, USA.
Clin Infect Dis. 2013 Mar;56(6):847-50. doi: 10.1093/cid/cis1028. Epub 2012 Dec 7.
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.
临床、实验室和流行病学证据表明，3 名急性球孢子菌病患者在华盛顿州暴露，范围远远超出先前确定的地方性流行地区。鉴于患者近期没有旅行，因此并未怀疑球孢子菌病，导致诊断和适当治疗的延误。临床医生应意识到这种可能性，并考虑这种诊断。
