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February 1973

Coccidioidomycosis: An Occupational Disease in Cotton Mill Workers

Author Affiliations


From the Epidemiology Program, Center for Disease Control, Health Services and Mental Health Administration, Atlanta. Dr. Gehlbach is presently the Epidemiology Intelligence Service Officer located in North Carolina. Dr. Hamilton is now with the Infectious Disease Service, Veterans Administration Hospital, Durham, NC. Dr. Conant is now with the Department of Microbiology and Immunology, Duke University, Durham, NC.

Arch Intern Med. 1973;131(2):254-255. doi:10.1001/archinte.1973.00320080090012

Fatal disseminated coccidioidomycosis occurred in a 56-year-old black cotton mill worker who had never traveled west of the Mississippi River. The suspected source of infection was dust in cotton grown in the San Joaquin Valley of California. A survey of 46 employees in the cotton textile mill revealed no other clinical disease, but one positive skin test reaction to coccidioidin in a man without any other explanation for sensitivity suggests that occupational exposure does occur to a very limited degree.