Coccidioidomycosis Where It Shouldn't Be

Abstract

Coccidioidomycosis — or valley fever — is caused by a fungus found in soil and is endemic in the southwestern U.S., Mexico, and Central and South America. In endemic areas of the U.S., reported cases increased eightfold between 1998 and 2012. Incidence has also increased in nonendemic areas (NEJM JW Infect Dis May 27 2014; [e-pub] and MMWR Morb Mortal Wkly Rep 2014; 63:450). Retrospective …