coccidioidomycosis, disseminated…

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disseminated coccidioidomycosis, fungus, coccidioidomycosis, systemic, coccidioidomycosis, infection, breathing in spores of coccidioides immitis, a fungus found, in the soil in certain parts, the southwestern, mexico, central, south america, spreads, the bloodstream to involve many organs, coccidioidomycosis, breathing, in the spores of a fungus in desert regions, 60% of acute infections cause no symptoms, recognized by a positive coccidioidin skin test, remaining 40%, symptoms range from mild to severe, disseminated form, infection, spread to the bones, lungs, liver, brain, skin, heart, pericardium, sac around the heart, meningitis occurs in 30-50% of cases of disseminated disease, immunodeficient, immunosuppressed, hiv infection, diabetics, pregnant women of any race, more prone, recent travel to, residence in southwestern deserts, risk factor, cough, fever, chills, headache, muscle stiffness, muscle aches, neck stiffness, shoulder stiffness, change in mental status, sensitivity to light, additional symptoms that associated, joint swelling, joint pain, skin reaction, erythema nodosum, arthritis, ankle, feet, leg swelling, sputum smear, koh test, sputum culture, serum coccidioides complement fixation titer, coccidioidin skin test, cbc, differential, chest x-ray, biopsy of tissue in area of disseminated disease, bone marrow biopsy, liver biopsy, open lung biopsy, skin lesion biopsy, changes in neurological examination, bed rest, supportive treatment, improved nutrition, antifungal medications, prescribed to treat the infection, disseminated disease have a high death rate, course rapid, immunosuppressed patients, a fatal disorder, symptoms of disseminated coccidioidomycosis develop, general maintenance of good health, limit the disease to a harmless pulmonary form, prevention of aids, impaired immune system, generally, prevent the more severe forms, chiller tm, coccidioidomycosis, infect dis clin north am, 17(1), 41-57, viii, murray j, nadel j, textbook of respiratory medicine, 3rd ed, philadelphia, pa, wb saunders, mandell gl, bennett je, dolin r, principles, practice of infectious diseases, 5th ed, london, uk, churchill livingstone, 2746-2755.