Suspected Locally Acquired Coccidioidomycosis in Human, Spokane, Washington, USA.

The full geographic range of coccidioidomycosis is unknown, although it is most likely expanding with environmental change. We report an apparently autochthonous coccidioidomycosis patient from Spokane, Washington, USA, a location to which Coccidioides spp. are not known to be endemic. [ABSTRACT FROM AUTHOR]