a severe, chronic, and progressive form of coccidioidomycosis resulting from rapid dissemination of endospores from the primary site of infection, or from reinfection in a previously sensitised patient, with widespread involvement of the central nervous system, bones, skin, and viscera.
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... less than 1% of cases progress to serious and lifethreatening local or disseminated infection following natural exposure. In most instances, this ... be difficult to detect because there is no surveillance system for coccidioidomycosis outside the endemic states of the southwestern USA. Confirmation ...
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