Coccidiomycosis

• Facts:
  Pulmonary fingal infection
  Endemic to SW United States
  Flu-like illness
  May involve bone, CNS, and skin
• History / PE:
  Fever
  Dry cough
  Chest pain
  Arthralgias
  Night sweats
  
• Diagnosis:
  Bronchoalveolar lavage
  Coccidioides immitus sperules on H&E stain
• Treatment:
  Amphotericin B for severe disease
• Associated With:
  Erythema nodosum
  Erythema multiforme