Clinical features

These can be considered in terms of acute and chronic infection.

In acute coccidioidomycosis, symptoms begin 1 to 3 weeks following exposure. The onset may be abrupt or subacute, and symptoms include:

• fever
• headache
• shortness of breath
• cough and/or dyspnoea
• inspiratory chest pain
• malaise
• myalgia and/or arthralgia
• rash

Some patients develop chronic lung infiltrates and cavities that may be asymptomatic or associated with cough, haemoptysis, and pleuritic pain.

Reference

1. Crum NF et al. Coccidioidomycosis: a descriptive survey of a reemerging disease. Clinical characteristics and current controversies. Medicine (Baltimore). 2004 May;83(3):149-75.