coccidioidomycosis, acute pulmonary…

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fungus, acute pulmonary coccidioidomycosis, lung infection, breathing in spores of coccidioides immitis, a fungus found, in the soil in certain parts, the southwestern, mexico, central, south america, coccidioides infection begins, in the lungs, following inhalation, the spores, 60% of infections resolve, ever causing symptoms, recognized by a positive coccidioidin skin test, remaining 40% of infections, symptoms range from mild, cold-like, flu-like, to severe, pneumonia, coccidioidomycosis, in less than 1% of infections, widespread disease occurs, the fungus spreads, lungs, the blood stream to involve the skin, bones, joints, lymph nodes, central nervous system, organs, individuals of african, philippine descent, weakened immune systems, due to aids, diabetes, immunosuppressive medications, develop more serious infections, occasionally the acute infection, develop into a chronic pulmonary, lung, reactivate after a long latent period, a history of travel to an endemic region, key to suspecting coccidioidal infection, arizona, california, san joaquin valley, to a lesser extent, western texas, endemic regions, in the usa, cough, sputum, phlegm, chest pain, from mild sense of constriction to severe, fever, chills, night sweats, headache, muscle stiffness, muscle aches, joint stiffness, rash, painful, red, on lower legs, erythema nodosum, weight loss, lymph node swelling, skin lesion of coccidioidomycosis, sputum smear, koh test, papanicolaou stain, bronchoscopy, lavage, biopsy of lymph node, lung, bronchoscopy, acute disease is always benign, goes away, bedrest, treatment of flu-like symptoms, fever disappears recommended, in severe forms, disseminated coccidioidomycosis, antifungal treatment, amphotericin b, fluconazole, itraconazole, best length of treatment, medications has not been determined, outlook in milder cases, disseminated coccidioidomycosis, serious, weakened immune systems, chronic pulmonary coccidioidomycosis, disseminated coccidioidomycosis, symptoms develop that suggest coccidioidomycosis, symptoms worsen, not improve, new symptoms develop, avoiding travel to regions where this fungus is found, prevent risk of developing this disorder, not practical, prudent to try to avoid contact, soil in these regions, weakened immune system, due to hiv, chiller tm, coccidioidomycosis, infect dis clin north am, 17(1), 41-57, viii.