Infection with the fungus Coccidioides immitis may manifest in an acute or chronic illness and may, in some persons, be maintained in an asymptomatic state. This fungus is endemic in the southwestern United States. Those demonstrating symptoms usually complain of an influenza-like febrile respiratory illness. The disease may disseminate in approximately 0.5 percent.

Coccidioidomycosis should be considered in those with one or more of the following: (1) influenza-like signs and symptoms (fever, cough, chest pain, myalgia, arthralgia, and headache), (2) pneumonia or other pulmonary lesion on chest radiograph, (3) erythema nodosum or erythema multiforme rash, (4) involvement of bones, joints, or skin by dissemination, (5) meningitis, and (6) involvement of viscera or lymph nodes.

Laboratory confirmation is made through (1) culture, histopathology, or molecular evidence of C. immitis, (2) serologic tests including detection of IgM by immunodiffusion, enzyme immunoassay, latex agglutination, or tube precipitation or detection of rising titer of IgG by immunodiffusion, enzyme immunoassay, or complement fixation, or (3) coccidioidal skin-test conversion after onset of symptoms.

Was this article helpful?

0 0
How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

Get My Free Ebook

Post a comment