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Volume 21, Number 11—November 2015
Synopsis

Mycotic Infections Acquired outside Areas of Known Endemicity, United States

Kaitlin BenedictComments to Author , George R. Thompson, Stan Deresinski, and Tom M. Chiller
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (K. Benedict, T. Chiller); University of California Davis Medical Center, Davis, California, USA (G.R. Thompson III); University of California, Davis (G.R. Thompson III); Stanford University, Stanford, California, USA (S. Deresinski)

Main Article

Table 1

Cases of blastomycosis, coccidioidomycosis, and histoplasmosis acquired outside the traditionally defined mycosis-endemic areas, United States*

Infection and reference No. cases, species Location Type of infection Method of diagnosis
Blastomycosis
(8) 1, dog Central Washington Ocular Histopathology and culture
(9) 1, human Oregon NS Culture
(10) 1, human North-central Florida Primary cutaneous Histopathology
(11) 2, human Western (1 case) and central Nebraska (1 case) Bone Culture plus confirmation by DNA probe
(12)
 2, human
 Central Colorado
 Pulmonary
 Histopathology and culture (1 case), histopathology and culture plus confirmation by DNA probe (1 case)
Coccidioidomycosis
(13) 61, human Butte County, California Pulmonary, complications NS Clinical findings (61 cases), skin test or serology (27 cases)
(14) 17, human Tehama County, California Pulmonary, complications NS Clinical findings (17 cases), skin test or serology (10 cases)
(15) 10, human Northeastern Utah Pulmonary, complications NS Clinical findings (10 cases), serology (9 cases)
(16)
 3, human
 South-central Washington
 1 pulmonary, 1 primary cutaneous, 1 pulmonary → meningitis
 Culture and serology
Histoplasmosis
(8) 1, dog Western Idaho Disseminated Histopathology and PCR
(17) 1, otter Kodiak Island, Alaska Disseminated Histopathology and PCR
(18) 5, cats California (2 cases), Colorado (2 cases), and New Mexico (1 case) Disseminated (4 cases), localized (1 case) Histopathology and PCR (4 cases), culture and PCR (1 cases)
(19) 2, cats San Joaquin Valley, California Pulmonary (1 case), cutaneous/ocular (1 case) Cytopathology (1 case), cytopathology and culture plus confirmation by DNA probe (1 case)
(20) 2, raccoons San Francisco, California Disseminated Histopathology, culture, and PCR
(21) 2, human California NS Skin test and chest x-ray
(22) 1, human California Endocarditis Histopathology, PCR, and urine EIA
(23) 1, human Arizona Gastrointestinal → central nervous system Histopathology and culture
(24) 6, human Southwestern (3 cases) and eastern (2 cases) Montana; southwestern Idaho (1 case) Disseminated (3 cases), pulmonary (1 case), unknown (2 cases) Histopathology (2 cases), culture (2 cases), urine EIA (2 cases)
(25) 5, human Southern Florida Disseminated Histopathology
(26) 1, human Northern Florida Pulmonary Skin test and serology
(27) 15, human Central New York Histopathology (10 cases), serology (9 cases)
(28) 1, human Staten Island, New York Pulmonary Skin test and serology
(29) 5, human South Bronx, New York Disseminated Culture

*EIA, enzyme immunoassay; NS, not specified.

Main Article

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Page created: October 16, 2015
Page updated: October 16, 2015
Page reviewed: October 16, 2015
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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