UNUSUAL OUTBREAK OF WINDBORNE COCCIDIOIDOMYCOSIS

被引:106
作者
FLYNN, NM
HOEPRICH, PD
KAWACHI, MM
LEE, KK
LAWRENCE, RM
GOLDSTEIN, E
JORDAN, GW
KUNDARGI, RS
WONG, GA
机构
[1] UNIV CALIF DAVIS, SACRAMENTO MED CTR,SCH MED,DEPT INTERNAL MED, INFECT & IMMUNOL DIS SECT, SACRAMENTO, CA 95817 USA
[2] KAISER PERMANENTE MED GRP, OAKLAND, CA USA
[3] KAISE PERMANENTE MED CTR, OAKLAND, CA USA
[4] PULM MED ASSOC, SACRAMENTO, CA USA
关键词
D O I
10.1056/NEJM197908163010705
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
EARLY in the morning on December 20, 1977, high-velocity winds centered around Arvin, a town at the southern extreme of the San Joaquin Valley near Bakersfield, in Kern County, California, bore aloft soil containing arthroconidia of Coccidioides immitis. Dispersion of this soil by peculiar wind conditions resulted in an epidemic of coccidioidomycosis in an area encompassing approximately 87,000 km2, an area larger than the state of Maine. We report the morbidity, mortality and cost of the epidemic in Sacramento County, an area of 2797 km2 at the northern limit of the San Joaquin Valley, which is normally an. © 1979, Massachusetts Medical Society. All rights reserved.
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页码:358 / 361
页数:4
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