@article{ref1,
title="How natural disasters change natural patterns: Coccidioidomycosis imported to New Orleans",
journal="Journal of the Louisiana State Medical Society",
year="2013",
author="Schieffelin, John S. and Torrellas, Mariclara and Lartchenko, Serge and Gill, Farrukh and Garcia-Diaz, Julia and McGoey, Robin",
volume="165",
number="3",
pages="145-149",
abstract="OBJECTIVE: To identify cases of coccidioidomycosis in the New Orleans area following Hurricane Katrina. METHODS: We performed clinical surveillance across multiple medical disciplines and among three major teaching hospitals in the greater NOLA area in the posthurricane period. Each case involved a detailed history, physical examination, laboratory evaluations, and, in the two fatal cases, a comprehensive postmortem examination. RESULTS: We identified four cases of coccidioidomycosis during the posthurricane period: three with disseminated disease and one with disease limited to the respiratory tract. Two patients were co-infected with HIV and died during hospitalization; one was only diagnosed at autopsy. The two immunocompetent patients responded well to antimicrobial therapy. CONCLUSIONS: A heightened awareness of non-endemic disease is warranted in the practice of postdisaster clinical medicine and public health, as demonstrated by the appearance of coccidioidomycosis in the traditionally nonendemic NOLA area following Hurricane Katrina.<p /> <p>Language: en</p>",
language="en",
issn="0024-6921",
doi="",
url="http://dx.doi.org/"
}