3 years ago

Coccidioidomycosis: Imported and Possible Domestic Cases in China A Case Report and Review, 1958-2017

Hailin Zheng, Xiaoli Zheng, Huan Mei, Guanzhao Liang, Dongmei Li, Guixia Lv, Yongnian Shen, Weida Liu, Xue Kong, Oliver Blechert
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 our knowledge, possible endemic areas in China. This article is protected by copyright. All rights reserved.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/myc.12750

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