Coccidioidomycosis

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Coccidioidomycosis - chest x-ray

Pulmonary nodule - front view chest X-ray

Coccidiosis; San Joaquin Valley fever; Valley fever

Any of the following may be symptoms:

• Cough
• Chest pain , varies from mild sense of constriction to severe
• Fever
• Chills
• Night sweats
• Headache
• Muscle stiffness
• Muscle aches
• Joint stiffness
• Neck stiffness or shoulder stiffness
• Rash, may be painful, red, on lower legs (erythema nodosum)
• Blood-tinged sputum
• Loss of appetite
• Weight loss
• Wheezing
• Sweating, excessive
• Change in mental status
• Sensitivity to light

• Joint swelling
• Joint pain
• Arthritis
• Ankle, feet, and leg swelling

• Sputum smear (KOH test)
• Sputum culture
• Serum coccidioides complement fixation titer
• CBC with differential
• Chest x-ray
• Coccidioidin or Spherulin skin test

Review Date: 10/09/2006
Reviewed By: D. Scott Smith, M.D., MSc, DTM&H, Chief of Infectious Disease & Geographic Medicine, Kaiser Redwood City, CA & Adjunct Assistant Professor, Stanford University. Review provided by VeriMed Healthcare Network.