What are the indications for treatment of uncomplicated acute pneumonia in 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

Treatment should definitely be offered to patients with the following risk factors:

  • HIV/AIDS

  • Organ transplants

  • Immunosuppressive therapy (eg, high-dose corticosteroids)

  • Tumor necrosis factor inhibitor therapy

  • Diabetes mellitus

  • Cardiopulmonary disease

  • Pregnancy, especially peripartum

Elevated CF IgG titers and higher-risk ethnicity (eg, Filipino, black, Hispanic) may sway the decision to treat patients.


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