Experience with needle biopsy for coccidioidal
Because of positive coccidioidal
serologic results, fluconazole was started; the patient was discharged home after his fevers resolved during hospital observation.
Laboratory evidence can include detection of anticoccidioidal immunoglobulin M (IgM) or immunoglobulin G (IgG) antibodies; culture, histopathologic, or molecular evidence of Coccidioides spp.; or coccidioidal
skin test conversion after illness onset.
meningitis was confirmed with CSF Coccidioides complement fixing antibody titer of 1:2048.
Sun, "Relationship of progesterone- and estradiol-binding proteins in Coccidioides immitis to coccidioidal
dissemination in pregnancy," Infection and Immunity, vol.
The incidence of coccidioidal
infection is highest in late summer and early fall.
Myalgia is more common when coccidioidal
pneumonia is present (69% vs 23%, P=.0022).
Carter infectious granuloma of bones and joints, with Special Reference to Coccidioidal
Acquired immunity occurs with the development of delayed type hypersensitivity to the coccidioidal
antigen, as well as the production of T helper 1-associated cytokines such as interferon-gamma and interleukin-2.