Coccidioidomycosis

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Coccidioidomycosis - chest x-ray

Pulmonary nodule - front view chest X-ray

Coccidiosis; San Joaquin Valley fever; Valley fever

The acute disease almost always goes away without treatment. Bedrest and treatment of flu-like symptoms until fever disappears may be recommended.

Disseminated or severe disease should be treated with amphotericin B, ketoconazole, fluconazole, or itraconazole.

The outcome in acute disease is likely to be good. With treatment, for chronic or severe disease, the outcome is usually good (although relapses may occur). People with disseminated disease have a high death rate.

• Pleural effusion
• Relapse of infection
• Spread of the infection throughout the body
• Complications from medications. In particular, amphotericin B may cause fever, chills, and nausea while it is being given, and may cause abnormal kidney tests after many doses.

Call for an appointment with your health care provider if symptoms of coccidioidomycosis develop.

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.