Coccidioidomycosis (Coccidioides): Valley Fever - Summary ...
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Description

Coccidioidomycosis (Coccidioides): Valley Fever - Summary Sheet

 • Morphology

 • Geography, Reservoir and Mode of Transmission

     - Endemic in southwest of the US and certain arid regions in South America

     - In the US, highest incidence in Arizona and California

     - Reservoir includes: soil (increased during dry periods after rain/storms/earthquakes or excavation work)

     - Mode of transmission: aerogenic

     - Race predilection: Filipino and African Americans at higher risk for disseminated disease

 • Clinical presentation

     - Two-thirds of individuals remain asymptomatic or develop self-limiting respiratory symptoms. When symptomatic→ pulmonary involvement in >95% of cases

     - The disease can spread hematogenously to the following extrapulmonary sites: skin, soft tissue, skeleton, CNS (both meninges and spinal cord), eyes, heart, liver, kidneys, and prostate 

 • Diagnosis

 • Management

     - Mild pulmonary disease: no treatment

     - Asymptomatic nodule/cavity: no treatment

     - Symptomatic chronic cavity: fluconazole/itraconazole (at least) x 12 months



by Fatima Al Dhaheri, MD @FatimaAlDee



#Coccidioidomycosis #Coccidioides #ValleyFever #diagnosis #management #summary #fungal
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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