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Vinh DC et al. – Severe coccidioidomycosis is rare, and specific genetic susceptibility to the disease remains unidentified. The authors describe a patient with disseminated recalcitrant coccidioidomycosis with autosomal dominant interferon–gamma receptor 1 deficiency caused by a heterozygous IFNGR1 818del4 mutation. Therefore, the interleukin–12/interferon–gamma axis appears to be critical for control of coccidioidomycosis.

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