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==Overview==
==Overview==
'''Coccidioidomycosis''' (also known as '''Valley fever''', '''San Joaquin Valley Fever''', '''California valley fever''', '''desert fever,''' and (incorrectly) '''coccidiomycosis''') is a [[fungus|fungal]] disease caused by ''[[Coccidioides immitis]]'' or ''[[Coccidioides posadasii|C. posadasii]]''.<ref name=Baron>{{cite book | author = Walsh TJ, Dixon DM | title =  Spectrum of Mycoses. ''In:'' Baron's Medical Microbiology ''(Baron S ''et al'', eds.)| edition = 4th ed. | publisher = Univ of Texas Medical Branch | year = 1996 | id = [http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=mmed.section.4006 (via NCBI Bookshelf)] ISBN 0-9631172-1-1 }}</ref> It is [[endemic (epidemiology)|endemic]] in certain parts of Arizona, California, Nevada, New Mexico, Texas, Utah and northwestern Mexico.<ref name=Hector_2005>{{cite journal | author = Hector R, Laniado-Laborin R | title = Coccidioidomycosis--a fungal disease of the Americas. | journal = PLoS Med | volume = 2 | issue = 1 | pages = e2 | year = 2005 | url = http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0020002| id=PMID 15696207}}</ref>
'''Coccidioidomycosis''' is a [[fungus|fungal]] disease caused by ''[[Coccidioides immitis]]'' or ''[[Coccidioides posadasii|C. posadasii]]''.<ref name=Baron>{{cite book | author = Walsh TJ, Dixon DM | title =  Spectrum of Mycoses. ''In:'' Baron's Medical Microbiology ''(Baron S ''et al'', eds.)| edition = 4th ed. | publisher = Univ of Texas Medical Branch | year = 1996 | id = [http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=mmed.section.4006 (via NCBI Bookshelf)] ISBN 0-9631172-1-1 }}</ref>  
''C. immitis'' resides in the soil in certain parts of the southwestern [[United States]], northern Mexico, and parts of Central and South America [http://www.mayoclinic.com/print/valley-fever/DS00695/DSECTION=all&METHOD=print].  It is dormant during long dry spells, then develops as a mold with long filaments that break off into airborne spores when the rains come.  The spores, known as [[arthroconidia]], are swept into the air by disruption of the soil, such as during construction or farming.  Infection is caused by inhalation of the particles. The disease is not transmitted from person to person. ''C. immitis'' is a dimorphic saprophytic organism that grows as a [[mycelium]] in the soil and produces a spherule form in the host organism. 


The disease is usually mild, with flu-like symptoms and rashes, and the Mayo Clinic estimates that half the population in some affected areas have suffered from the disease.  On occasion, those particularly susceptible, including pregnant women, people with weakened immune systems, and those of Asian, Hispanic and African descent, may develop a serious or even fatal illness from valley fever.  Serious complications include severe [[pneumonia]], [[lung nodule]]s, and disseminated disease, where the fungus spreads throughout the body.  The disseminated form of valley fever can devastate the body, causing skin ulcers and [[abscess]]es to bone lesions, severe joint pain, heart inflammation, [[urinary tract]] problems, [[meningitis]], and death.
The disease is usually mild, with flu-like symptoms and rashes.  On occasion, those particularly susceptible, including pregnant women, people with weakened immune systems, and those of Asian, Hispanic and African descent, may develop a serious or even fatal illness from valley fever.  Serious complications include severe [[pneumonia]], [[lung nodule]]s, and disseminated disease, where the fungus spreads throughout the body.  The disseminated form of valley fever can devastate the body, causing skin ulcers and [[abscess]]es to bone lesions, severe joint pain, heart inflammation, [[urinary tract]] problems, [[meningitis]], and death.


It has been known to infect humans, dogs, cattle, livestock, llamas, apes, monkeys, kangaroos, wallabies, tigers, bears, badgers, otters and marine mammals. <ref>Valley Fever Center for Excellence |  url = http://www.vfce.arizona.edu/VFID-other.htm</ref>
It has been known to infect humans, dogs, cattle, livestock, llamas, apes, monkeys, kangaroos, wallabies, tigers, bears, badgers, otters and marine mammals. <ref>Valley Fever Center for Excellence |  url = http://www.vfce.arizona.edu/VFID-other.htm</ref>
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Symptomatic infection (40% of cases) usually presents as an [[influenza]]-like illness with fever, cough, headaches, [[rash]], and [[myalgia]] (muscle pain).<ref name=Sherris>{{cite book | author = Ryan KJ; Ray CG (editors) | title = Sherris Medical Microbiology | edition = 4th ed. | pages = pp. 680-83 | publisher = McGraw Hill | year = 2004 | id = ISBN 0838585299 }}</ref> Some patients fail to recover and develop chronic pulmonary infection or widespread disseminated infection (affecting [[meninges]], soft tissues, joints, and bone). Severe pulmonary disease may develop in [[HIV]]-infected persons.<ref name=Ampel_2005>{{cite journal | author = Ampel N | title = Coccidioidomycosis in persons infected with HIV type 1. | journal = Clin Infect Dis | volume = 41 | issue = 8 | pages = 1174-8 | year = 2005 | id = PMID 16163637}}</ref>  The disease can be fatal.
Symptomatic infection (40% of cases) usually presents as an [[influenza]]-like illness with fever, cough, headaches, [[rash]], and [[myalgia]] (muscle pain).<ref name=Sherris>{{cite book | author = Ryan KJ; Ray CG (editors) | title = Sherris Medical Microbiology | edition = 4th ed. | pages = pp. 680-83 | publisher = McGraw Hill | year = 2004 | id = ISBN 0838585299 }}</ref> Some patients fail to recover and develop chronic pulmonary infection or widespread disseminated infection (affecting [[meninges]], soft tissues, joints, and bone). Severe pulmonary disease may develop in [[HIV]]-infected persons.<ref name=Ampel_2005>{{cite journal | author = Ampel N | title = Coccidioidomycosis in persons infected with HIV type 1. | journal = Clin Infect Dis | volume = 41 | issue = 8 | pages = 1174-8 | year = 2005 | id = PMID 16163637}}</ref>  The disease can be fatal.


==Popular culture==
The illness is mentioned in episode Lines in the Sand of the TV Show ''House'', as the cause of a young girl's loss of inhibition. The illness does not actually cause loss of inhibition, nor does it cause milky tears. This was not a factual error in the episode: House was tricking the girl, however this was not obvious to many viewers.
It is also the center of an episode of the TV series Bones, ''The Man In the Fallout Shelter''. After being exposed to the fungus, the team was quarantined over Christmas to determine whether or not they had become infected. It was erroneously claimed to be contagious from person to person.


==References==
==References==

Revision as of 04:55, 8 August 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]

Overview

Coccidioidomycosis is a fungal disease caused by Coccidioides immitis or C. posadasii.[1]

The disease is usually mild, with flu-like symptoms and rashes.  On occasion, those particularly susceptible, including pregnant women, people with weakened immune systems, and those of Asian, Hispanic and African descent, may develop a serious or even fatal illness from valley fever.  Serious complications include severe pneumonia, lung nodules, and disseminated disease, where the fungus spreads throughout the body.  The disseminated form of valley fever can devastate the body, causing skin ulcers and abscesses to bone lesions, severe joint pain, heart inflammation, urinary tract problems, meningitis, and death.

It has been known to infect humans, dogs, cattle, livestock, llamas, apes, monkeys, kangaroos, wallabies, tigers, bears, badgers, otters and marine mammals. [2]

Symptomatic infection (40% of cases) usually presents as an influenza-like illness with fever, cough, headaches, rash, and myalgia (muscle pain).[3] Some patients fail to recover and develop chronic pulmonary infection or widespread disseminated infection (affecting meninges, soft tissues, joints, and bone). Severe pulmonary disease may develop in HIV-infected persons.[4] The disease can be fatal.


References

  1. Walsh TJ, Dixon DM (1996). Spectrum of Mycoses. In: Baron's Medical Microbiology (Baron S et al, eds.) (4th ed. ed.). Univ of Texas Medical Branch. (via NCBI Bookshelf) ISBN 0-9631172-1-1.
  2. Valley Fever Center for Excellence | url = http://www.vfce.arizona.edu/VFID-other.htm
  3. Ryan KJ; Ray CG (editors) (2004). Sherris Medical Microbiology (4th ed. ed.). McGraw Hill. pp. pp. 680-83. ISBN 0838585299.
  4. Ampel N (2005). "Coccidioidomycosis in persons infected with HIV type 1". Clin Infect Dis. 41 (8): 1174–8. PMID 16163637.

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