Coccidioidomycosis

From WikEM
Jump to: navigation, search

Background

  • Fungal infection caused by Coccidioides immitis and C posadasii
  • Organisms found in soil in arid climates of southwestern US and nearby areas
  • Transmitted by inhalation of airborne spores
  • Also known as Valley Fever

Clinical Features

Differential Diagnosis

Evaluation

Workup

  • Basic workup
  • Special testing
    • Immunoglobulin testing
    • Culture
    • PCR testing
    • Skin testing

Management

  • Often self-limited mild disease not requiring treatment
  • Azoles first line
  • Treatment options

Disposition

See Also

References