Volume 27, Number 9—September 2021
Synopsis
Epidemiology, Clinical Features, and Outcomes of Coccidioidomycosis, Utah, 2006–2015
Table 2
Clinical features based on case classification from the Intermountain Healthcare system, Utah, USA, 2006–2015
Characteristic |
No. (%) cases |
||
---|---|---|---|
Total |
Proven |
Probable |
|
Total | 364 (100) | 192 (52.7) | 172 (47.3) |
Primary method of diagnosis | |||
Laboratory | 189 (51.9) | 17 (8.9) | 172 (100) |
Microbiology | 43 (11.8) | 43 (22.4) | 0 |
Pathology | 106 (29.1) | 106 (55.2) | 0 |
Microbiology, pathology |
26 (7.1) |
26 (13.5) |
0 |
Infection site | |||
Abdomen, peritoneal fluid | 1 (0.3) | 1 (0.5) | 0 |
Adrenal | 2 (0.5) | 2 (1.0) | 0 |
Back | 1 (0.3) | 1 (0.5) | 0 |
Disseminated | 11 (3.0) | 10 (5.2) | 1 (0.6) |
Extremity | 6 (1.6) | 6 (3.1) | 0 |
Liver | 1 (0.3) | 0 | 1 (0.6) |
Lung only | 316 (86.8) | 154 (80.2) | 162 (94.2) |
Lung and lymph node | 7 (1.9) | 7 (3.6) | 0 |
Lymph node only | 4 (1.1) | 4 (2.1) | 0 |
Meningitis | 4 (1.1) | 3 (1.6) | 1 (0.6) |
Skin | 5 (1.4) | 3 (1.6) | 2 (1.2) |
Unknown |
6 (1.6) |
1 (0.5) |
5 (2.9) |
Location of diagnosis | |||
Urgent care/emergency department | 12 (3.3) | 2 (1.0) | 10 (5.8) |
Inpatient hospital | 110 (30.2) | 59 (30.7) | 51 (29.7) |
Primary care provider | 43 (11.8) | 22 (11.5) | 21 (12.2) |
Pulmonary department | 84 (23.1) | 40 (20.8) | 44 (25.6) |
Infectious diseases | 3 (0.8) | 0 | 3 (1.7) |
Surgery department | 39 (10.7) | 38 (19.8) | 1 (0.6) |
Other | 24 (6.6) | 19 (9.9) | 5 (2.9) |
Unknown | 50 (13.7) | 12 (6.3) | 38 (22.1) |
Diagnosed as work-up for malignancy | 104 (28.6) | 100 (52.1) | 4 (2.33) |