Deep endemic mycoses

Endemic fungi are soil-based fungi occurring in limited geographical regions capable of infecting not only the local inhabitants but also those visiting the region. It is possible to contract at least histoplasmosis and coccidioidomycosis even during a short visit, and no lengthy stay in the endemic area is required. These are rare infections encountered in travellers, and the symptoms usually involve the respiratory tract but other sites of involvement may include, for example, the skin and bones. The respiratory tract symptoms may range from a flulike illness to pneumonia. Immunosuppressed patients are prone to mycoses, and the clinical picture may be severe.