{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:02:05Z","timestamp":1785420125049,"version":"3.56.0"},"reference-count":24,"publisher":"American Society for Microbiology","issue":"4","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["ASM Case Rep"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      In a recent article in\n                      <jats:italic toggle=\"yes\">ASM Case Reports<\/jats:italic>\n                      , Blomquist et al. (1:e00098-24,\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.1128\/asmcr.00098-24\" xlink:type=\"simple\">https:\/\/doi.org\/10.1128\/asmcr.00098-24<\/jats:ext-link>\n                      ) describe a young woman with several years of abdominal symptoms who subsequently was found to have peritoneal coccidioidomycosis. Her story calls into focus the value of considering this endemic disease, either in patients with typical or unusual manifestations. In this patient, eventually the concern for metastatic cancer led to a surgical procedure which established the true diagnosis. However, a simple serologic test, either done in the preceding years because of her chronic symptoms or shortly before her biopsy, would have improved her management. More generally, persons living in coccidioidal endemic regions who are diagnosed with community-acquired pneumonia, a common presentation of coccidioidomycosis, are often managed without being tested for this possibility. In addition, as with the patient described in the case report, many patients present with a variety of other syndromes, making it reasonable to include coccidioidomycosis in the differential diagnosis of a wider spectrum of illnesses where the exact diagnosis is not yet firmly established. These considerations are equally applicable to patients seen elsewhere with recent history of travel to\n                      <jats:italic toggle=\"yes\">Coccidioides<\/jats:italic>\n                      -endemic locations.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1128\/asmcr.00052-25","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T07:51:26Z","timestamp":1746604286000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":2,"title":["When should coccidioidomycosis be in the differential?"],"prefix":"10.1128","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7882-1883","authenticated-orcid":true,"given":"John N.","family":"Galgiani","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03m2x1q45","id-type":"ROR","asserted-by":"publisher"}],"name":"Valley Fever Center for Excellence, University of Arizona, College of Medicine-Tucson","place":["Tucson, USA"]},{"id":[{"id":"https:\/\/ror.org\/03m2x1q45","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Medicine, College of Medicine-Tucson, University of Arizona","place":["Tucson, USA"]},{"id":[{"id":"https:\/\/ror.org\/03m2x1q45","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Immunobiology, College of Medicine-Tucson, University of Arizona","place":["Tucson, USA"]},{"id":[{"id":"https:\/\/ror.org\/023drta67","id-type":"ROR","asserted-by":"publisher"}],"name":"BIO5 Institute, University of Arizona","place":["Tucson, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1128\/asmcr.00098-24"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1164\/arrd.1976.114.4.681"},{"key":"e_1_3_1_4_2","volume-title":"Abstr 68th Annual Coccidioidomycosis Study Group","author":"Williams S","year":"2024","unstructured":"Williams S, Benedict K, Toda T, Rajeev M TC, Jackson B. 2024. Estimated burden of coccidioidomycosis in the United States, 2019. Abstr 68th Annual Coccidioidomycosis Study Group; San Antonio, TX"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1029\/2021GH000504"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1029\/2019GH000209"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.01581-22"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2306821"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2804.211912"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciz052"},{"key":"e_1_3_1_11_2","article-title":"Investigation of incidence rate, demographics, and clinical manifestations of coccidioidomycosis in a West Texas regional referral medical center, from January 2004 to December 2012","volume":"5","author":"Li W","year":"2015","unstructured":"Li W, Sponsel C, Alhomosh A, Benton T, Salarzon R, Tobias E, Mocheria S. 2015. Investigation of incidence rate, demographics, and clinical manifestations of coccidioidomycosis in a West Texas regional referral medical center, from January 2004 to December 2012. Prim Health Care 5","journal-title":"Prim Health Care"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1863-2378.2012.01526.x"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1407.070832"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2404.161568"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/mmy\/myx112"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofae461"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.15.1662"},{"key":"e_1_3_1_18_2","first-page":"75","article-title":"Changing physician behavior: what works?","volume":"21","author":"Mostofian F","year":"2015","unstructured":"Mostofian F, Ruban C, Simunovic N, Bhandari M. 2015. Changing physician behavior: what works? Am J Manag Care 21:75\u201384.","journal-title":"Am J Manag Care"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0538-8"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2024.04.028"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofac654"},{"key":"e_1_3_1_22_2","first-page":"47","volume-title":"Coccidioidomycosis Proceedings of the Fourth International Conference","author":"Lundergan LL","year":"1985","unstructured":"Lundergan LL, Kerrick SS, Galgiani JN. 1985. Coccidioidomycosis at a university outpatient clinic: a clinical description. Coccidioidomycosis Proceedings of the Fourth International Conference. p 47\u201354.National Foundation for Infectious Diseases, Washington"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2806.212311"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lana.2025.101010"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw360"}],"container-title":["ASM Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.asm.org\/doi\/pdf\/10.1128\/asmcr.00052-25","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.asm.org\/doi\/pdf\/10.1128\/asmcr.00052-25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T17:29:25Z","timestamp":1757438965000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.asm.org\/doi\/10.1128\/asmcr.00052-25"}},"subtitle":[],"editor":[{"given":"Ritu","family":"Banerjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1128\/asmcr.00052-25"],"URL":"https:\/\/doi.org\/10.1128\/asmcr.00052-25","relation":{},"ISSN":["2996-2684"],"issn-type":[{"value":"2996-2684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-05-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e00052-25"}}