Coccidioidomycosis


Epidemiology

Endemic Areas

Risk Factors

(diabetes mellitus and rheumatalogic disease are not defined risk factors for coccidioidomycosis)

Risk Factors for Dissemination


Physiology


Diagnosis

CBC

Sputum GS/Cult+Sens:

Pleural Fluid: exudate (see [[Pleural Effusion-Exudate]])

Pleural Biopsy

CXR/Chest CT Patterns:

FOB-BAL

Coccidoidomycosis Skin Test

Coccidoidomycosis Immunodiffusion (ID)

Coccidoidomycosis Complement Fixation (CF) Test

PCR

LP:

Blood c/s:

Bone Marrow c/s:


Clinical

Primary Coccidioidomycosis

Chronic Cavitary Coccidioidomycosis (2% of cases)

Disseminated Coccidioidomycosis


Treatment

Mild-Moderate Coccidioidomycosis (Pulmonary or Disseminated)

Severe Coccidioidomycosis (Pulmonary, Disseminated, or Immunosuppressed Host)

CNS Coccidioidomycosis

Treatment of Primary Coccidioidomycosis (with or without pleural effusion)

Treatment of Cavitary Coccidioidomycosis


Prevention

References