2016
DOI: 10.1007/s12281-016-0266-1
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Update on the Epidemiology of Coccidioidomycosis

Abstract: Coccidioidomycosis is an illness caused by the soildwelling, dimorphic fungi, Coccidioides immitis and Coccidioides posadasii, which are found primarily in niche ecological zones of the Western Hemisphere. The bulk of infections due to Coccidioides are found within the endemic areas of Arizona, California, Mexico, and Central America. Outcomes run the gamut from asymptomatic to a self-limited or even chronic pulmonary process, up to severe disseminated, and life-threatening disease. Patients at particular risk… Show more

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Cited by 5 publications
(5 citation statements)
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“…Spring and winter (5)(6)(7)(8)(9)(10) Here, the target parameter of interest can be directly expressed from the model coefficients on lagged temperature and precipitation. This approach provides the level of flexibility needed, while permitting Waldbased inference in the form of standard errors.…”
Section: Relationship To Droughtmentioning
confidence: 99%
See 1 more Smart Citation
“…Spring and winter (5)(6)(7)(8)(9)(10) Here, the target parameter of interest can be directly expressed from the model coefficients on lagged temperature and precipitation. This approach provides the level of flexibility needed, while permitting Waldbased inference in the form of standard errors.…”
Section: Relationship To Droughtmentioning
confidence: 99%
“…In California, state-wide age-adjusted incidence rates of coccidioidomycosis increased nearly 800% from 2000 to 2018, and over 300% from 2014 to 2018 [5]. The highest disease burden in California occurs in the southern San Joaquin Valley, but the largest proportional increases in incidence rates are seen among counties that lie outside this hot and arid region where cases were historically concentrated [3, 5, 6]. For instance, incidence in counties within the northern San Joaquin Valley increased by over 1,500% between 2000 and 2018, and incidence in the counties within the central coast increased 800% between 2014 and 2018 [5].…”
Section: Introductionmentioning
confidence: 99%
“…The geographic areas with the largest endemic sources of infection are in California and Arizona, United States 3,4 . However, they can also be seen in Mexico and Central America 1 .…”
Section: Introductionmentioning
confidence: 99%
“…Coccidioidomycosis, or valley fever (VF), is a fungal infection endemic in dry areas throughout the Americas caused by the inhalation of Coccidioides spores ( 1 , 2 ). Disease manifestation varies depending on infection severity and host immune competency, with a reported 60% of patients showing no symptoms despite many having immunologic evidence of exposure ( 3 5 ).…”
Section: Introductionmentioning
confidence: 99%