Which history is characteristic of coccidioidomycosis?

Updated: Aug 27, 2019
  • Author: Duane R Hospenthal, MD, PhD, FACP, FIDSA, FASTMH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

In patients with suspected coccidioidomycosis, a history of travel to, or residence in, an endemic area is very important in establishing the risk of exposure. The exposure may be as limited as driving through an endemic area. [6, 2, 3, 7, 4, 8, 9] The clinician should inquire about activities that involve increased exposure to dust or soil (eg, farming, construction work, archaeological digs). Rare cases of infection from contaminated fomites (eg, contaminated plaster cast, dusty clothing) have been reported. [4]

Coccidioidomycosis is considered to be an occupational hazard in endemic regions, and it is a compensable illness in such cases.


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