Pappagianis D, Einstein H
West J Med. 1978 Dec;129(6):527-30.
New cases of acute primary coccidioidomycosis in large numbers resulted from a windstorm that blew through Kern County, California, on December 20, 1977. In most of these cases clinically apparent infections developed in early and mid-January 1978 and occurred not only in persons exposed directly to the dust raised by the windstorm but also among those in many areas to the north and west of Kern County. The exposure to the dustborne Coccidioides immitis was brief because of the arrival of drenching rains, but the continued heavy rainfall increased the potential for large numbers of cases of coccidioidomycosis to occur in the summer-fall season.
1977年12月20日，一场风暴席卷了加利福尼亚州克恩县，导致大量急性原发性球孢子菌病新病例出现。在大多数这些病例中，临床明显的感染在1978年1月上旬和中旬出现，不仅发生在直接暴露于风暴扬起的灰尘中的人身上也出现在克恩县北部和西部许多地区的人群中。由于倾盆大雨的到来，接触尘土传播的粗球孢子菌的时间很短，但持续的暴雨增加了在夏秋季节出现大量球孢子菌病病例的可能性。
