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"Mortality is high without timely appropriate treatment.C A travel history is important to identify infections caused by endemic fungi Ricardo J Jos e MBChB DA(SA) MRCP(UK) PhD (UCL) is an Academic Clinic Lecturer in Translational Medicine (Respiratory Medicine) in the Centre for Inflammation and Tissue Repair, University College London, UK. His interests include all aspects of respiratory medicine, particularly respiratory infection and diffuse parenchymal lung disease in immunocompromised hosts."