A pulmonary fungal infection caused by the dimorphic fungus, Coccidioides, endemic to arid areas of the southwestern United States as well as parts of Central and South America.
Trans...
Presentations in symptomatic patients include:
Acute pneumonia (most common): cough, fever, chest pain, headache, malaise, arthralgias, skin rash (erythema nodosum or erythema multifor...
Approximately 60% of patients are either asymptomatic or develop mild respiratory illness.
Expert opinion varies ...
Monitor all patients for complications including relapse regardless of antifungal therapy.
Evaluate for clinical, serological, and radiographic i...
B38.9 Coccidioidomycosis, unspecified
B38.2 Pulmonary coccidioidomycosis, unspecified
B38.0 Acute pulmonary coccidioidomycosis
B38.1 Chronic pulmonary coccidioidomycosis
B38.89 Other forms of c...
Consider coccidioidomycosis in patients who have traveled to or live in endemic areas who present with persistent pulmonary symptoms that do not respond to routine treatment. Even mini...
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Hemorrhagic pattern with blood-filled spaces lined by epithelioid cells.
FIGURE 19.9. Giant spherule, highly characteristic of coccidioidomycosis. Structure to the right is a single endospore (Gomori methenamine silver stain, original magnification X100).
FIGURE 19.9. Giant spherule, highly characteristic of coccidioidomycosis. Structure to the right is a single endospore (Gomori methenamine...
FIGURE 19.10. Residual coccidioidomycotic abscess. Radiograph shows stable round lesion in right lower lobe. Sputum in this case was negative, serology positive, and fine needle aspiration positive.
FIGURE 19.10. Residual coccidioidomycotic abscess. Radiograph shows stable round lesion in right lower lobe. Sputum in this case was negat...
FIGURE 19.11. Chronic pulmonary coccidioidomycosis. Chest radiograph shows chronic right upper lobe infiltrate. Sputum cultures were positive.
FIGURE 19.11. Chronic pulmonary coccidioidomycosis. Chest radiograph shows chronic right upper lobe infiltrate. Sputum cultures were posit...
FIGURE 19.13. Giant spherule, highly characteristic of coccidioidomycosis. Structure to the right is a single endospore (Gomori methenamine silver stain, original magnification X100).
FIGURE 19.13. Giant spherule, highly characteristic of coccidioidomycosis. Structure to the right is a single endospore (Gomori methenamin...
<bold>FIGURE 47-9</bold> <bold>Patient with coccidioidomycosis and a cutaneous lesion on the face.</bold>
<bold>FIG. 126.4.</bold> Magnetic resonance image of coccidioidomycosis of the cranium in an otherwise healthy 29-year-old woman.
<bold>FIG. 126.4.</bold> Magnetic resonance image of coccidioidomycosis of the cranium in an otherwise healthy 29-year-old wom...
<bold>Fig C 1-12 Coccidioidomycosis pneumonia.</bold> Ill-defined area of patchy infiltrate in the left lower lung.
Figure 271.5. This map displays the regions in which coccidioidomycosis is most highly endemic. The stippled areas represent the uncertain boundaries. Not represented are recently identified endemic areas in northeastern Utah in the United States and in northeastern Brazil.
Figure 271.5. This map displays the regions in which coccidioidomycosis is most highly endemic. The stippled areas represent the uncertain...
Coccidioidomycosis. A photomicrograph of the lung from a patient with acute coccidioidal pneumonia shows an acute inflammatory infiltrate surrounding spherules and endospores of C. immitis.
Coccidioidomycosis. A photomicrograph of the lung from a patient with acute coccidioidal pneumonia shows an acute inflammatory infiltrate ...