Saturday, May 2, 2020

Doctors along the Coast are slower to identify Valley Fever

from the Internet


The disease that doctors at first thought was lung cancer was likely carried on a speck of dust.
A few years ago, Kevin Pierce, a laconic retired sheriff who has lived his whole life in the Central Valley of California, went to see his family physician about some chest pains. An X-ray showed several nodules in his lungs, suggestive of a spreading cancer – not entirely surprising since Pierce is a smoker. He was referred to UCSF Fresno for treatment.
But when the doctors there investigated further, they realized the nodules in his lungs were not from cancer but from a fungal infection.
Pierce had Valley Fever, an illness caused by the fungus Coccidioides immitis, which grows in the hot, dry soil of the Central Valley and across the American Southwest.
“It’s hard to be a doctor in Fresno and not have to deal with Valley Fever,” said Michael Peterson, MD, a pulmonologist and associate dean at UCSF Fresno. In fact, Peterson said in his clinic’s experience, up to one-third of patients who are sent for biopsy to confirm lung cancer turn out instead to have Valley Fever.

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