Coccidioidomycosis in Travelers Returning From Mexico—Pennsylvania, 2000 | Fungal Infections | JAMA Dermatology | JAMA Network
[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
From the MMWR
March 2001

Coccidioidomycosis in Travelers Returning From Mexico—Pennsylvania, 2000

Arch Dermatol. 2001;137(3):391-392. doi:10-1001/pubs.Arch Dermatol.-ISSN-0003-987x-137-3-dmm00008

COCCIDIOIDOMYCOSIS (CM), a fungal disease caused by Coccidioides immitis, is endemic in the southwestern United States and parts of Central and South America. The disease is acquired by inhaling the arthroconidia of C. immitis present in the soil. Outbreaks of CM occur when susceptible persons are exposed to airborne arthroconidia from dust storms, natural disasters, and earth excavation.1,2 Persons who travel to areas where the disease is endemic may become infected and develop symptoms after returning home.3,4 This report describes an outbreak of CM among travelers returning to Pennsylvania from a trip to Mexico.

On January 24, 2000, 35 church members from two cities in Pennsylvania traveled to Hermosillo, Mexico, where they stayed 1 week to construct a church. Within 2 weeks of returning home, 27 travelers complained of influenza-like symptoms, and initial testing of acute serum specimens at CDC revealed antibodies to C. immitis for one traveler.