coccidioidomycosis…

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coccidioidomycosis, chest x-ray, pulmonary nodule, front view chest x-ray, coccidiosis, san joaquin valley fever, valley fever, coccidiodomycosis, spores, the fungus, coccidioides immitis, infection, inhalation, the spores, the fungus, coccidioides immitis, found in desert regions, 60% of infections cause no symptoms, recognized later by a positive coccidioidin skin test, remaining 40% of cases, symptoms range from mild to severe, a compromised immune system tend to have more serious infections, individuals, aids, at higher risk, pulmonary, lung, coccidioidomycosis, the disseminated, spread to many body systems, cutaneous, skin, forms, have an acute, chronic, disseminated form, acute pulmonary coccidioidomycosis is always mild, few, no symptoms, resolves, incubation period is 7 to 21 days, acute coccidioidomycosis is rare, in any given year, 3% of people who live in an area where coccidiomycosis is commonly, develop the disease, chronic pulmonary coccidioidomycosis, develop 20, years after initial infection, not have been recognized, diagnosed, infections, lung abscesses, form, rupture releasing pus, empyema, between the lungs, ribs, pleural space, disorder is less common than the acute form, in disseminated disease, spread of infection, bones, lungs, liver, meninges, brain, skin, heart, pericardium, sac around the heart, take place, meningitis occurs in 30-50% of cases of disseminated disease, course, the disease rapid, immunosuppressed patients, cough, chest pain, from mild sense of constriction to severe, fever, chills, night sweats, headache, muscle stiffness, muscle aches, joint stiffness, neck stiffness, shoulder stiffness, rash, 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, additional symptoms that associated, joint swelling, joint pain, arthritis, ankle, feet, leg swelling, skin lesion of coccidioidomycosis, sputum smear, koh test, sputum culture, serum coccidioides complement fixation titer, cbc, differential shows elevated eosinophils, chest x-ray, coccidioidin, spherulin skin test, acute disease always goes away, bedrest, treatment of flu-like symptoms, fever disappears recommended, disseminated, severe disease, amphotericin b, ketoconazole, fluconazole, itraconazole, outcome in acute disease is likely to be good, chronic, severe disease, outcome, relapses, disseminated disease have a high death rate, pleural effusion, relapse of infection, spread, the infection throughout the body, complications from medications, in particular, amphotericin b, fever, chills, nausea it is given, abnormal kidney tests after many doses, symptoms develop, suggestive of coccidioidomycosis, general maintenance of good health, limit the disease to a benign pulmonary form, prevention of aids, immune system, generally, prevent the more severe forms.