Coccidioidomycosis - chronic pulmonary

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Coccidioidomycosis - chest x-ray

Fungus

Tuberculosis, advanced - chest X-rays

• Chronic cough
• Blood-tinged sputum
• Loss of appetite
• Weight loss
• Fever
• Shortness of breath

Additional symptoms that may be associated with this disease:

• Wheezing
• Sweating, excessive
• Joint stiffness
• Chest pain
• Headache

• Sputum smear (KOH test)
• Sputum fungal culture
• Serum coccidioides complement fixation titer (serology)
• CBC with differential
• Chest x-ray
• Chest CT scan
• Coccidioidin or spherulin skin test
• Bronchoscopy
• Bronchoscopy with transbronchial biopsy
• Open lung biopsy
• Mediastinoscopy
• Lumbar puncture (spinal tap) to exclude meningitis involvement

Review Date: 08/10/2005
Reviewed By: David A. Kaufman, M.D., Assistant Professor, Division of Pulmonary, Critical Care & Sleep Medicine, Mount Sinai School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.