C. immitis is endemic in the Southwestern United States - especially California, Arizona, Texas
C. immitis is also endemic in Mexico, and Central and Southern America
infection is acquired by inhalation of arthrospores
the only person-to-person transmission has been indirect, through exposure to contaminated secretions eg if infected pus drained into a dressing then the conditions may be favorable (moisture, nutritive conditions, correct temperature) for the fungus to complete its life cycle by coverting from a tissue form to infectious airborne spores
there is not requirement for isolation of patients with cocciodomycosis
immunocompromised patients, pregnant women, infants, and nonwhite people are especially susceptible to C. immitis infection
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