What is the clinical progression of primary pulmonary coccidioidomycosis?

Updated: Aug 27, 2019
  • Author: Duane R Hospenthal, MD, PhD, FACP, FIDSA, FASTMH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Primary pulmonary infection may progress to overt pneumonia and chronic lung infections; hematogenous spread may occur, leading to disseminated disease, with focal involvement such as arthritis, osteomyelitis, and meningitis. Patients who have disseminated disease present with dramatic sweats, dyspnea at rest, fever, and weight loss.


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