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Disclaimer: Early release articles are not considered as final versions. Any changes will be reflected in the online version in the month the article is officially released.

Volume 32, Number 9—September 2026

Research Letter

Pulmonary Coccidioidomycosis Linked to Shipping Containers, Taiwan, 2025

Allen C. Huang1, Tsung-Han Lee1, Min-Nan HungComments to Author , Mei-Hui Liao, Hsueh-Mei Chiang, Min-Hua Hsieh, Tein-Yao Chang, and Shu-Min Lin
Author affiliation: Chang Gung University Graduate Institute of Clinical Medical Sciences, Taoyuan (A.C. Huang); St. Paul's Hospital, Taoyuan, Taiwan (A.C. Huang, S.-M. Lin); Linkou Chang Gung Memorial Hospital, Taoyuan (A.C. Huang, S.-M. Lin); Taiwan Centers for Disease Control, Taipei, Taiwan (T.-H. Lee, M.-N. Hung, M.-H. Liao, H.-M. Chiang, M.-H. Hsieh); National Defense Medical University Institute of Preventive Medicine, Taipei (T.-Y. Chang); National Defense Medical University Graduate Institute of Biodefense, Taipei (T.-Y. Chang); Chang Gung University School of Medicine, Taoyuan (S.-M. Lin)

Main Article

Figure 2

Occupational activities at a maritime container yard in Taiwan, 2025, that might generate airborne Coccidioides immitis from soil or dust. A) Red arrows indicate hammers used for hammering of deformed container panels during metal surface repair. B) Green arrow indicates backsplash from high-pressure water jet cleaning of interior container surfaces. Images do not depict the patient reported in this case or any specific containers he worked on.

Figure 2. Occupational activities at a maritime container yard in Taiwan, 2025, that might generate airborne Coccidioides immitis from soil or dust. A) Red arrows indicate hammers used for hammering of deformed container panels during metal surface repair. B) Green arrow indicates backsplash from high-pressure water jet cleaning of interior container surfaces. Images do not depict the patient reported in this case or any specific containers he worked on.

Main Article

1These first authors contributed equally to this article.

Page created: June 29, 2026
Page updated: July 27, 2026
Page reviewed: July 27, 2026
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