Signs of Coccidiomycosis (Valley fever)

Description

Caused by fungi (coccidiomycosis) that live in the soil and are spread into the air during wind storms, construction or farming. Also called valley fever because of its high incidence in the San Joaquin Valley. The fungi spores are breathed in causing a lung infection. Pregnant patients and people with a weak immune system are especially at risk. Mild cases go away on their own, but some will need anti-fungal medication.

Symptoms

Fever, cough, chest pain, headache, fatigue, breathing problems, joint pain, and a red spotty rash. Rarely skin ulcers, painful bone lesions and a brain infection can occur (meningitis).

Tests

A history and physical exam will be done. Diagnosis requires a sputum culture and/or a blood test for the antibody for the fungus (PCR).

Standard Workup

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Treatment

Rest is many times the only treatment that is required. Antifungal medications such as fluconcazole or itraconazole are sometimes given. At times the medications only keep the infection under control and lifelong infection occurs.