Fomite-transmitted coccidioidomycosis in an immunocompromised child.

An unusual, nonendemic case of fomite-transmitted, disseminated coccidioidomycosis in a neutropenic 3-year-old boy is presented. Accurate diagnosis of coccidioidomycosis hinges on recognition of host risk factors, clinical signs and symptoms, and effective implementation of diagnostic studies. Timely diagnosis and treatment is critical for improved morbidity and mortality in the pediatric oncology population.