Coccidioidomycosis at a University Health Service

S. S. Kerrick, L. L. Lundergan, J. N. Galgiani

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

At a single university health service within an endemic area, 172 cases of coccidioidomycosis were retrospectively identified by fungal cultures, serologic studies, or intercurrent skin test conversions. The average annual incidence of symptomatic infection was 0.43% for susceptible students. Peak case rates occurred in November and June (11 cases/10,000 clinic visits) and were 1.5 to 6 times greater than in other months. Although mononucleosis was diagnosed approximately twice as frequently as coccidioidomycosis, coccidioidal infections required 74% more visits per patient and over 3 times longer clinical supervision than did mononucleosis. Although only 2 patients disseminated, diagnosis and management of patients with coccidioidomycosis constituted more than 2% of our clinic's visits, for an estimated annual cost of more than $34,000. Because our patient population is younger and otherwise healthy, our estimates of the impact of primary coccidiodal infection may underestimate that on civilian public health as a whole.

Original languageEnglish (US)
Pages (from-to)100-102
Number of pages3
JournalAmerican Review of Respiratory Disease
Volume131
Issue number1
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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