Coccidioidomycosis: A Traveling Fungus Disease

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Abstract
The case histories of 12 patients with coccidioidomycosis, all diagnosed in southeastern Michigan over the past 14 years, are presented. Some of the problems and pitfalls in making a diagnosis of this disease in a nonendemic area are discussed. Our experience in encountering this infection in the Midwest serves to emphasize the point that coccidioidomycosis is not rare outside the endemic areas of the United States. With the increase in travel through the southwestern United States and Mexico, it is thought that increasing numbers of people will acquire coccidioidomycosis. These individuals may develop symptoms of the disease many months after returning to their homes. A review of our experiences may help to alert other physicians to this possibility. Coccidioidomycosis is a systemic fungus disease that is normally acquired within a geographic area including the southwestern United States and adjacent parts of Mexico.1 A recent study of Maddy, Crecelius, and

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