Valley Fever - Symptoms

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What were the symptoms of your valley fever (coccidioidomycosis)?

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What are the symptoms of valley fever (coccidioidomycosis)?

About 60% of all infected people (without immunosuppression) have no symptoms and do not seek medical care. About 30%-35% of people who develop symptoms have flu-like symptoms (fever, cough, malaise, and chills) that resolve over about two to six weeks without treatment. Some may develop additional symptoms such as shortness of breath, night sweats, headaches, sputum production, and joint and muscle pains (symptoms resembling pneumonia). Women, more often than men, may develop erythema nodosum (reddish, painful, tender lumps, usually on the legs) or erythema multiforme (an allergic reaction similar to erythema nodosum in multiple body sites with rash). Usually these symptoms resolve in about two to six weeks.

Chronic coccidioidomycosis occurs in about 8% of patients and is characterized by the above symptoms but may spread from the lungs to other parts of the body. People develop lung cavities that may disappear in about two years or become calcified.

Progressive pulmonary coccidioidomycosis includes the above symptoms but progresses to lung volume loss, fibrosis (scarring), and inflammation.

Disseminated coccidioidomycosis (about 1% of cases) can be characterized by the above symptoms, but they may occur over weeks to years. The fungi may be found in any body organ but are most frequently seen in the skin, meninges, and bones. In a few cases, the disease is rapidly fatal. Disseminated disease occurs most often in immunosuppressed individuals, males, and pregnant females.

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Comment from: stan, 65-74 Male (Patient) Published: January 03

I had a deep cough, night bed sweats, and skin lesions for about two weeks and then went to the doctor. I was first diagnosed with pneumonia and put on an antibiotic. No help, so CT scan showed many nodules in the lungs and it was next diagnosed as lung cancer. Blood test showed valley fever and now I am on Fluconazole-400mg-daily, but for how long don't know.

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Comment from: meinaz, 55-64 Female (Patient) Published: November 20

The first week of June 2013 I started coughing up blood, lots of bright red blood. I immediately saw my doctor who had me get an x-ray of my lungs the same day I saw him. He felt it was valley fever and prescribed fluconazole and Levofloxacin as a precaution. My doctor read the x-ray right after it was taken and said I had a mass on my lung. He then called in a favor to my now pulmonary doctor. I had a series of blood tests and a bronchoscopy and they took tissue samples. I am still taking fluconazole. I still get blood work done every 6 weeks. I had an x-ray 6 weeks ago, but will have another CT scan in 7 weeks to see if the nodule in my lung has shrunk. I was told it can take up to year for valley fever to finally be cured. I have to say if my doctors weren't so proactive I may have lost part of my lungs.

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