2014
DOI: 10.1093/cid/ciu681
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Valley Fever: Finding New Places for an Old Disease: Coccidioides immitis Found in Washington State Soil Associated With Recent Human Infection

Abstract: We used real-time polymerase chain reaction and culture to demonstrate persistent colonization of soils by Coccidioides immitis, an agent of valley fever, in Washington State linked to recent human infections and located outside the endemic range. Whole-genome sequencing confirmed genetic identity between isolates from soil and one of the case-patients.

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Cited by 163 publications
(164 citation statements)
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“…Recently a small number of C. immitis infections were diagnosed in an arid area in eastern Washington State. Organisms were also isolated from soil samples where the infections were acquired, thousands of miles north of the nearest known endemic areas in California [26]. The soil and human isolates were identical but were genetically distinct from Central and Southern California isolates of C. immitis .…”
Section: Epidemiologymentioning
confidence: 99%
“…Recently a small number of C. immitis infections were diagnosed in an arid area in eastern Washington State. Organisms were also isolated from soil samples where the infections were acquired, thousands of miles north of the nearest known endemic areas in California [26]. The soil and human isolates were identical but were genetically distinct from Central and Southern California isolates of C. immitis .…”
Section: Epidemiologymentioning
confidence: 99%
“…The investigator collected five soil samples in 2010 and fifteen soil samples in 2014 from a dirt track at a public park used for ATV riding in Washington. While all five soil samples collected in 2010 were positive by both ''CocciDx'' PCR assay and fungal culture, eleven of fifteen soil samples positive by the PCR assay yielded a single positive culture [26]. These limited data suggested that far more samples are likely to be positive for DNA without yielding Coccidioides in culture.…”
mentioning
confidence: 97%
“…Coccidioidomycosis endemic areas continue to expand in the USA and now include Missouri, Utah, and Washington [23][24][25][26]. The recent investigations in the Washington state were notable in that the genotype of environmental isolate was correlated with the clinical isolate from Washington using whole genome sequencing (WGS) [24,26].…”
mentioning
confidence: 99%
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