Disseminated Coccidioidomycosis

摘要

To the Editor: Coccidioidomy-cosis, an infection caused by thedimorphic fungus Coccidioides immi-tis, is endemic in the southwesternUnited States, parts of Mexico, andCentral and South America (1).Patients with C. immitis infection mayhave chronic pneumonia, fungemia,and extrapulmonary dissemination toskin, bones, meninges, and other bodysites. The clinical features of coccid-ioidomycosis may mimic those ofmelioidosis, penicilliosis marneffei,and tuberculosis, which are common-ly seen in some southeastern Asiancountries, including Taiwan