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Lane-Fox Respiratory
Unit, St Thomas' Hospital, London SE1 7EH, UK
Correspondence to: Dr A J Williams.
Received 16 January 1997; Returned to authors 12 March 1997; Revised version received 14 May 1997; Accepted for publication 30 May 1997
The case history is presented of an American visitor, known to
have had primary coccidioidomycosis previously, who became very unwell
during a visit to the UK. Despite consideration of reactivation of
coccidioidomycosis from the outset, other pathogens were identified
while Coccidioides immitis was not
initially, leading to a delay in treatment.
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