How is the severity of coccidioidomycosis determined?

Updated: Aug 27, 2019
  • Author: Duane R Hospenthal, MD, PhD, FACP, FIDSA, FASTMH; Chief Editor: Michael Stuart Bronze, MD  more...
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Commonly used indicators to judge the severity of illness include the following:

  • Continuous fever for longer than 1 month

  • Body-weight loss of more than 10%

  • Intense night sweats that persist for more than 3 weeks

  • Infiltrates that involve more than half of one lung or portions of both lungs

  • Prominent or persistent hilar adenopathy

  • Anticoccidioidal complement fixation (CF) IgG titers of 1:16 or higher

  • Absence of dermal hypersensitivity to coccidioidal antigens

  • Inability to work

  • Symptoms that persist for more than 2 months

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