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.
Keywords: Coccidioides immitis; Spokane; USA; Washington; canonical single-nucleotide polymorphisms; coccidioidomycosis; fungi; respiratory infections.