Each of two Filipino agricultural workers experienced coccidioidal infection, characterized by a solitary skin lesion, by regional lymphadenopathy, and by a benign clinical course, without evidence of involvement of the lungs or other viscera. It is believed that these are cases of primary cutaneous coccidioidomycosis incurred under "natural" conditions. A similar interpretation seems acceptable for at least six other reported cases.
LEVAN NE, HUNTINGTON RW. Primary Cutaneous Coccidioidomycosis in Agricultural Workers. Arch Dermatol. 1965;92(3):215–220. doi:10.1001/archderm.1965.01600150005001
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