{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:23:28Z","timestamp":1783110208366,"version":"3.54.6"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2009,10,22]],"date-time":"2009-10-22T00:00:00Z","timestamp":1256169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>Coccidioidomycosis results from inhaling spores of the fungus<jats:italic>Coccidioides<\/jats:italic>spp. in soil or airborne dust in endemic areas. We investigated an outbreak of coccidioidomycosis in a 12-person civilian construction crew that excavated soil during an underground pipe installation on Camp Roberts Military Base, California in October 2007. Ten (83\u00b73%) workers developed symptoms of coccidioidomycosis; eight (66\u00b77%) had serologically confirmed disease, seven had abnormal chest radiographs, and one developed disseminated infection; none used respiratory protection. A diagnosis of coccidioidomycosis in an eleventh worker followed his exposure to the outbreak site in 2008. Although episodic clusters of infections have occurred at Camp Roberts, the general area is not associated with the high disease rates found in California's San Joaquin Valley. Measures to minimize exposure to airborne spores during soil-disrupting activities should be taken before work begins in any coccidioides-endemic area, including regions with only historic evidence of disease activity.<\/jats:p>","DOI":"10.1017\/s0950268809990999","type":"journal-article","created":{"date-parts":[[2009,10,22]],"date-time":"2009-10-22T08:48:34Z","timestamp":1256201314000},"page":"507-511","source":"Crossref","is-referenced-by-count":45,"title":["Point-source outbreak of coccidioidomycosis in construction workers"],"prefix":"10.1017","volume":"138","author":[{"given":"K. C.","family":"CUMMINGS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"McDOWELL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"WHEELER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"McNARY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"DAS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. J.","family":"VUGIA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. C.","family":"MOHLE-BOETANI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2009,10,22]]},"reference":[{"key":"S0950268809990999_ref006","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1128\/JCM.33.3.618-619.1995","article-title":"Comparative evaluation of commercial premier EIA and microimmunodiffusion and complement fixation tests for Coccidioides immitis antibodies","volume":"33","author":"Kaufman","year":"1995","journal-title":"Journal of Clinical Microbiology"},{"key":"S0950268809990999_ref003","doi-asserted-by":"publisher","DOI":"10.1086\/319203"},{"key":"S0950268809990999_ref009","unstructured":"9. Hoggan MD , Isolation of Coccidioides immitis from the air. Stanford Medical Bulletin 1956. Abstracts from American Federation for Clinical Research, Spring Meeting, 22 May 1956."},{"key":"S0950268809990999_ref007","unstructured":"7. Centers for Disease Control and Prevention. Case definitions for infectious conditions under public health surveillance (http:\/\/www.cdc.gov\/ncphi\/disss\/nndss\/casedef\/case_definitions.htm). Accessed 3 January 2008."},{"key":"S0950268809990999_ref011","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.58.1.107"},{"key":"S0950268809990999_ref004","doi-asserted-by":"publisher","DOI":"10.3201\/eid1004.030446"},{"key":"S0950268809990999_ref012","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1946.02870490011003"},{"key":"S0950268809990999_ref005","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.3.3.247"},{"key":"S0950268809990999_ref002","first-page":"105","article-title":"Increase in coccidioidomycosis \u2013 California, 2000\u20132007","volume":"58","year":"2009","journal-title":"Morbidity and Mortality Weekly Reports"},{"key":"S0950268809990999_ref008","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1942.02830140016005"},{"key":"S0950268809990999_ref001","doi-asserted-by":"publisher","DOI":"10.3201\/eid0203.960305"},{"key":"S0950268809990999_ref013","doi-asserted-by":"publisher","DOI":"10.1086\/315401"},{"key":"S0950268809990999_ref010","doi-asserted-by":"crossref","unstructured":"10. Fisher FS , Bultman MW , Pappagianis D .Operational guidelines (version 1.0) for geological fieldwork in areas endemic for coccidioidomycosis (Valley Fever). 2000 US Geological Survey Open-File Report 00-348 (http:\/\/geopubs.wr.usgs.gov\/open-file\/of00-348\/). Accessed 1 September 2009.","DOI":"10.3133\/ofr00348"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268809990999","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,23]],"date-time":"2020-05-23T05:57:35Z","timestamp":1590213455000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268809990999\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,10,22]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["S0950268809990999"],"URL":"https:\/\/doi.org\/10.1017\/s0950268809990999","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,10,22]]}}}