Coccidioidomycosis - disseminated

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Disseminated coccidioidomycosis

Fungus

Coccidioidomycosis - systemic

• Cough
• Fever
• Chills
• Headache
• Muscle stiffness
• Muscle aches
• Neck stiffness or shoulder stiffness
• Change in mental status
• Sensitivity to light

Additional symptoms that may be associated with this disease:

• Joint swelling
• Joint pain
• Skin reaction (erythema nodosum)
• Arthritis
• Ankle, feet, and leg swelling

• Sputum smear (KOH test)
• Sputum culture
• Serum coccidioides complement fixation titer
• Coccidioidin skin test
• CBC with differential
• Chest x-ray
• Biopsy of tissue in area of disseminated disease
  • Bone marrow biopsy
  • Liver biopsy
  • Open lung biopsy
  • Skin lesion biopsy
• Changes in neurological examination

Review Date: 11/07/2005
Reviewed By: Cyrus Badshah, M.D., Ph.D., Assistant Professor of Clinical Medicine, College of Physicians and Surgeons, Columbia University; Assistant Attending Physician, Department of Medicine, Division of Infectious Diseases & Medical Director, Chest (TB) Clinic and Directly Observed Therapy Program, Harlem Hospital Center. Review provided by VeriMed Healthcare Network.