TY - JOUR AU - Tsang, Clarisse A. AU - Anderson, Shoana M. AU - Imholte, Sara B. AU - Erhart, Laura M. AU - Chen, Sanny AU - Park, Benjamin J. AU - Christ, Cara AU - Komatsu, Kenneth K. AU - Chiller, Tom AU - Sunenshine, Rebecca H. T1 - Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008 T2 - Emerging Infectious Disease journal PY - 2010 VL - 16 IS - 11 SP - 1738 SN - 1080-6059 AB - Coccidioidomycosis is endemic to the southwestern United States; 60% of nationally reported cases occur in Arizona. Although the Council of State and Territorial Epidemiologists case definition for coccidioidomycosis requires laboratory and clinical criteria, Arizona uses only laboratory criteria. To validate this case definition and characterize the effects of coccidioidomycosis in Arizona, we interviewed every tenth case-patient with coccidioidomycosis reported during January 2007–February 2008. Of 493 patients interviewed, 44% visited the emergency department, and 41% were hospitalized. Symptoms lasted a median of 120 days. Persons aware of coccidioidomycosis before seeking healthcare were more likely to receive an earlier diagnosis than those unaware of the disease (p = 0.04) and to request testing for Coccidioides spp. (p = 0.05). These findings warrant greater public and provider education. Ninety-five percent of patients interviewed met the Council of State and Territorial Epidemiologists clinical case definition, validating the Arizona laboratory-based case definition for surveillance in a coccidiodomycosis-endemic area. KW - Coccidioidomycosis KW - Coccidioides KW - lung diseases KW - fungi KW - central nervous system fungal infections KW - Arizona KW - research KW - USA KW - United States DO - 10.3201/eid1611.100475 UR - https://wwwnc.cdc.gov/eid/article/16/11/10-0475_article ER - End of Reference