San Joaquin Valley fever

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Related to San Joaquin Valley fever: histoplasmosis, coccidioidomycosis, San Joaquin Valley disease

San Joaquin Valley fever

the primary form of coccidioidomycosis.

pri·mar·y coc·cid·i·oi·do·my·co·sis

a disease common in the San Joaquin Valley of California and certain additional areas in the southwestern U.S. as well as the Chaco region of Argentina, caused by inhalation of the arthroconidia of Coccidioides immitis; acute onset of respiratory symptoms accompanied by fever, aches, malaise, arthralgia, headache, and occasionally an early erythematous or papular eruption; erythema multiforme or erythema nodosum may appear.

Acute Pulmonary Coccidioidomycosis

Lung infection due to Coccidioides immitis or C posadasii, which is endemic in southwestern US.
Epidemiology 10- to 30-day incubation period; more common in immune compromised hosts.
Clinical findings 60% remain asymptomatic; some may develop chest pain of varying intensity, chills, cough, fever, head and muscle aches, musculoskeletal stiffness, lymphadenopathy, night sweats, rash, erythema nodosum, weight loss.
Management Usually self-limited; if therapy is required, amphotericin B, fluconazole, itraconazole.
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