Coccidioidomycosis: Imported and possible domestic cases in China: A case report and review, 1958‐2017. Issue 7 (19th February 2018)

• Record Type: Journal Article
• Authors: Liang, Guanzhao; Shen, Yongnian; Lv, Guixia; Zheng, Hailin; Mei, Huan; Zheng, Xiaoli; Kong, Xue; Blechert, Oliver; Li, Dongmei; Liu, Weida
• Is Part Of: Mycoses. Volume 61:Issue 7(2018)
• Page Start: 506
• Page End: 513
• Publication Date: 2018-02-19
• Subjects: coccidioidomycosis -- imported mycosis -- voriconazole; Pathogenic fungi -- Periodicals; Medical mycology -- Periodicals; 616.969
• DOI: 10.1111/myc.12750
• Languages: English
• ISSNs: 0933-7407

Abstract

Summary: 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 the best of our knowledge, possible endemic areas in China.