Allen C Huang, Tsung-Han Lee, Min-Nan Hung, Mei-Hui Liao, Hsueh-Mei Chiang, Min-Hua Hsieh, Tein-Yao Chang, Shu-Min Lin
A shipping container yard worker from Taiwan contracted laboratory-confirmed pulmonary coccidioidomycosis. He reported no travel history to endemic regions. Occupational exposure to aerosolized dust or soil residues on maritime shipping containers from endemic areas is likely. Our findings highlight international shipping as a potential pathway for introducing geographically restricted pathogens into nonendemic regions.