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.

中文翻译：

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美国华盛顿州斯波坎市疑似本地获得性球孢子菌病。

球孢子菌病的整个地理范围尚不清楚，尽管它很可能随着环境变化而扩大。我们报告了一名来自美国华盛顿州斯波坎市的明显本土球孢子菌病患者，该地点是球孢子菌属的所在地。不知道是地方病。