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Volume 18, Number 2—February 2012

Letter

Geographic Distribution of Endemic Fungal Infections among Older Persons, United States

Dirk Haselow, Mike Saccente, Keyur Vyas, Ryan Bariola, Haytham Safi, Robert Bradsher, Nate Smith, and James Phillips
Author affiliations: Arkansas Department of Health, Little Rock, Arkansas, USA (D. Haselow, H. Safi, N. Smith, J. Phillips); University of Arkansas for Medical Sciences, Little Rock (D. Haselow, M. Saccente, K. Vyas, R. Bariola, R. Bradsher, N. Smith)

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Table

Reported cases of fungal diseases in Arkansas, by year*

Disease No. cases/no. cases in persons >65 y of age

Incidence rate (95% CI)†
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Overall Persons >65 y
Blastomycosis, n = 166/43 20/5 15/3 20/9 15/3 19/6 17/4 16/6 13/3 15/1 16/3 4.3 (2.9–5.7) 1.1 (0–2.3)
Coccidioidomycosis, n = 3/0 2/0 0 0 0 0 1/0 0 0 0 0 0.08 (0–0.4) 0
Histoplasmosis, n = 372/65 15/3 13/3 23/6 22/2 16/4 42/9 51/9 66/4 78/13 46/12 9.6 (0–20) 1.7 (0–3.5)

*Data from Arkansas Department of Health.
†No. cases/100,000 person-years, 1999–2008.

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