We report a patient in Japan infected with Cryptococcus gattii genotype VGIIa who had no recent history of travel to disease-endemic areas. This strain was identical to the Vancouver Island outbreak strain R265. Our results suggest that this virulent strain has spread to regions outside North America.
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Okamoto, K., Hatakeyama, S., Itoyama, S., Nukui, Y., Yoshino, Y., Kitazawa, T., … Koike, K. (2010). Cryptococcus gattii genotype VGIIa infection in man, Japan, 2007. Emerging Infectious Diseases, 16(7), 1155–1157. https://doi.org/10.3201/eid1607.100106