Which physical findings are characteristic of 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

No physical findings are pathognomonic for coccidioidal infection. However, in endemic areas, coccidioidal infection should be a strong consideration for patients who present with an influenzalike illness and a lower-extremity rash. Suggestive signs of disseminated disease include dramatic sweats, dyspnea at rest, fever, and weight loss.

In addition to nonspecific systemic signs (eg, fever), findings on physical examination reflect the organ system or systems involved.


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